| Pleasant Lake Medical Offices | |
|
253 Pleasant Lake Ave Harwich MA 02645-2535 | |
| (508) 432-5233 | |
| (508) 430-0511 |
| Full Name | Pleasant Lake Medical Offices |
|---|---|
| Speciality | Clinic/Center |
| Location | 253 Pleasant Lake Ave, Harwich, Massachusetts |
| Authorized Official Name and Position | Carol Ann Topolewski (PRESIDENT / OWNER) |
| Authorized Official Contact | 5084325233 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pleasant Lake Medical Offices 253 Pleasant Lake Ave Harwich MA 02645-2535 Ph: (508) 432-5233 | Pleasant Lake Medical Offices 253 Pleasant Lake Ave Harwich MA 02645-2535 Ph: (508) 432-5233 |
| NPI Number | 1578573689 |
|---|---|
| Provider Enumeration Date | 08/09/2006 |
| Last Update Date | 06/24/2014 |
| Medicare PECOS PAC ID | 4284605684 |
|---|---|
| Medicare Enrollment ID | O20100810000060 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578573689 | NPI | - | NPPES |
| 670290 | Other | MA | TUFTS GROUP NUMBER |
| 9706470 | Medicaid | MA | |
| M17418 | Other | MA | BCBS GROUP NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (Massachusetts) | Primary |
| Provider Name | Elisabeth Fuller Haskell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366525545 PECOS PAC ID: 2264322981 Enrollment ID: I20040317000654 |
| Provider Name | Carol A Topolewski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104873835 PECOS PAC ID: 3375514789 Enrollment ID: I20050425000895 |
| Provider Name | James White Shepherd |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003823295 PECOS PAC ID: 5193858587 Enrollment ID: I20100805000695 |
| Provider Name | Diane S Campbell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902871262 PECOS PAC ID: 5597706481 Enrollment ID: I20120613000110 |
Robert Malin Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 253 Pleasant Lake Ave, Harwich, MA 02645 Phone: 774-323-7970 | |
Oceanside Health Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 55 Clearwater Dr, Harwich, MA 02645 Phone: 774-237-9116 Fax: 774-237-3411 | |
Pleasant Lake Medical Center Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 253 Pleasant Lake Ave Ste 100, Harwich, MA 02645 Phone: 617-785-2066 | |
Harwich Medical Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1421 Orleans Rd, Harwich, MA 02645 Phone: 508-430-1220 Fax: 508-430-5029 |