| Pondville Medical Associates, Llc | |
|
31 Pine St Norfolk MA 02056-1642 | |
| (508) 623-3700 | |
| Not Available |
| Full Name | Pondville Medical Associates, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 31 Pine St, Norfolk, Massachusetts |
| Authorized Official Name and Position | Riad Mortada (PRESIDENT) |
| Authorized Official Contact | 5086233700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pondville Medical Associates, Llc 31 Pine St Norfolk MA 02056-1642 Ph: (508) 660-2241 | Pondville Medical Associates, Llc 31 Pine St Norfolk MA 02056-1642 Ph: (508) 623-3700 |
| NPI Number | 1477963460 |
|---|---|
| Provider Enumeration Date | 04/30/2014 |
| Last Update Date | 01/05/2023 |
| Medicare PECOS PAC ID | 0042437410 |
|---|---|
| Medicare Enrollment ID | O20140807001832 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477963460 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | John D Reilly |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932113941 PECOS PAC ID: 5799757381 Enrollment ID: I20040812001093 |
| Provider Name | Michael Higgins |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730251661 PECOS PAC ID: 2668419177 Enrollment ID: I20050414001281 |
| Provider Name | Ahmed S Basheer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467416958 PECOS PAC ID: 2365485091 Enrollment ID: I20050603000699 |
| Provider Name | Riad K Mortada |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902974256 PECOS PAC ID: 1456381094 Enrollment ID: I20050815000202 |
| Provider Name | John J Adams |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699875161 PECOS PAC ID: 1052344041 Enrollment ID: I20050912000059 |
| Provider Name | Lynda D Cripps |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225509920 PECOS PAC ID: 8729326715 Enrollment ID: I20190218001512 |
Norfolk Gastroenterology, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 31 Pine St, Suite # 300, Norfolk, MA 02056 Phone: 508-623-3700 Fax: 508-623-3701 |