| Southcoast Cardiology Llc | |
|
275 Allen St Suite 101 New Bedford MA 02740-3373 | |
| (774) 992-7499 | |
| (508) 999-9880 |
| Full Name | Southcoast Cardiology Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 275 Allen St, New Bedford, Massachusetts |
| Authorized Official Name and Position | Alan J Weinshel (SOLE MBR) |
| Authorized Official Contact | 7749927499 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Southcoast Cardiology Llc 177 Gulf Rd South Dartmouth MA 02748-1514 Ph: (774) 992-7499 | Southcoast Cardiology Llc 275 Allen St Suite 101 New Bedford MA 02740-3373 Ph: (774) 992-7499 |
| NPI Number | 1467887562 |
|---|---|
| Provider Enumeration Date | 09/08/2013 |
| Last Update Date | 08/26/2014 |
| Medicare PECOS PAC ID | 1052543022 |
|---|---|
| Medicare Enrollment ID | O20140407001625 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467887562 | NPI | - | NPPES |
| 110099282A | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Alan J Weinshel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1164479143 PECOS PAC ID: 8527034321 Enrollment ID: I20040903000393 |
| Provider Name | Paula E Ferreira |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154368934 PECOS PAC ID: 5991740151 Enrollment ID: I20050628000463 |
| Provider Name | Michelle A Kallevik |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982002028 PECOS PAC ID: 2769709682 Enrollment ID: I20150402000276 |
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