| Personal Care Physicians, Pc | |
|
255 Low St Suite 303 Newburyport MA 01950-3594 | |
| (978) 225-0378 | |
| Not Available |
| Full Name | Personal Care Physicians, Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 255 Low St, Newburyport, Massachusetts |
| Authorized Official Name and Position | Mark Su (PHYSICIAN/OWNER) |
| Authorized Official Contact | 9788750328 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Personal Care Physicians, Pc 255 Low St Suite 303 Newburyport MA 01950-3594 Ph: (978) 225-0378 | Personal Care Physicians, Pc 255 Low St Suite 303 Newburyport MA 01950-3594 Ph: (978) 225-0378 |
| NPI Number | 1942624796 |
|---|---|
| Provider Enumeration Date | 02/14/2014 |
| Last Update Date | 02/18/2014 |
| Medicare PECOS PAC ID | 7719102888 |
|---|---|
| Medicare Enrollment ID | O20140703000037 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942624796 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 216973 (Massachusetts) | Primary |
| Provider Name | Michele C Novello |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629138532 PECOS PAC ID: 6406892280 Enrollment ID: I20050701000273 |
| Provider Name | Mark L Su |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609871946 PECOS PAC ID: 0547266355 Enrollment ID: I20061018000105 |
| Provider Name | Jeffrey B Kreher |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1558346510 PECOS PAC ID: 0446156244 Enrollment ID: I20081120000485 |
| Provider Name | Katelyn Kenny |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740800838 PECOS PAC ID: 4587007646 Enrollment ID: I20240206003512 |
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