| Suburban Paltc | |
|
710 Stockbridge Rd Lee MA 01238-9316 | |
| (413) 243-0122 | |
| Not Available |
| Full Name | Suburban Paltc |
|---|---|
| Speciality | Internal Medicine |
| Location | 710 Stockbridge Rd, Lee, Massachusetts |
| Authorized Official Name and Position | Gabriel M Naventi (MD/VICE PRESIDENT) |
| Authorized Official Contact | 4132430122 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Suburban Paltc 710 Stockbridge Rd Lee MA 01238-9316 Ph: (413) 243-0122 | Suburban Paltc 710 Stockbridge Rd Lee MA 01238-9316 Ph: (413) 243-0122 |
| NPI Number | 1851129811 |
|---|---|
| Provider Enumeration Date | 07/22/2024 |
| Last Update Date | 07/22/2024 |
| Medicare PECOS PAC ID | 4880134824 |
|---|---|
| Medicare Enrollment ID | O20240905002241 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851129811 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Amy C Campion |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548352073 PECOS PAC ID: 6507956364 Enrollment ID: I20071217000399 |
| Provider Name | Maryjane Scoco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083862627 PECOS PAC ID: 3072674175 Enrollment ID: I20081208000601 |
| Provider Name | Gabriel Naventi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659518462 PECOS PAC ID: 1254485360 Enrollment ID: I20090824000336 |
| Provider Name | Thomas Consolati |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326006362 PECOS PAC ID: 9436192812 Enrollment ID: I20100325000705 |
| Provider Name | Mark Snowise |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629036116 PECOS PAC ID: 0941336135 Enrollment ID: I20100326000574 |
| Provider Name | Daniel Cohen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285692129 PECOS PAC ID: 7618910092 Enrollment ID: I20100817000184 |
| Provider Name | Ebony A Alexander |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639668551 PECOS PAC ID: 6204183155 Enrollment ID: I20180724000303 |
| Provider Name | Carolee R Harrigan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013471671 PECOS PAC ID: 8123368388 Enrollment ID: I20190326000900 |
| Provider Name | Alyssa L Felver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336765437 PECOS PAC ID: 9931529344 Enrollment ID: I20201027001175 |
| Provider Name | Serwa Guirand |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366834574 PECOS PAC ID: 1658785324 Enrollment ID: I20210121001112 |
| Provider Name | Rhodalyn Macquaye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073329132 PECOS PAC ID: 4880116813 Enrollment ID: I20250319003713 |
| Provider Name | Ariel Fusini Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629890884 PECOS PAC ID: 7810413473 Enrollment ID: I20250428000136 |
Town Of Lee Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 45 Railroad St, Lee, MA 01238 Phone: 413-243-5540 Fax: 413-243-5540 | |
Suburban Internal Medicine, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 710 Stockbridge Rd, Lee, MA 01238 Phone: 413-243-0122 Fax: 413-243-2251 | |
Community Health Programs Primary Care Clinic Medicare: Medicare Enrolled Practice Location: Chp Lee Family Practice, 11 Quarry Hill Road, Lee, MA 01238 Phone: 413-243-0536 Fax: 413-243-8040 | |
Next Generation Family Practice Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 312 Prospect St, Lee, MA 01238 Phone: 413-464-1586 | |
Lee Family Practice,pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11 Quarry Hill Rd, Lee, MA 01238 Phone: 413-243-0536 Fax: 413-243-8040 |