| Tristan Medical Pc | |
|
1340 Belmont St Brockton MA 02301-4404 | |
| (508) 583-1400 | |
| Not Available |
| Full Name | Tristan Medical Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 1340 Belmont St, Brockton, Massachusetts |
| Authorized Official Name and Position | Julie S. Thibert (MEDICAL DIRECTOR) |
| Authorized Official Contact | 5085831400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tristan Medical Pc 1340 Belmont St Brockton MA 02301-4404 Ph: (508) 583-1400 | Tristan Medical Pc 1340 Belmont St Brockton MA 02301-4404 Ph: (508) 583-1400 |
| NPI Number | 1154492700 |
|---|---|
| Provider Enumeration Date | 11/13/2006 |
| Last Update Date | 03/03/2022 |
| Medicare PECOS PAC ID | 9739141037 |
|---|---|
| Medicare Enrollment ID | O20050120000747 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154492700 | NPI | - | NPPES |
| 9749900 | Medicaid | MA | |
| M18009 | Other | MA | PRACTICE GROUP # BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | (Massachusetts) | Secondary |
| Provider Name | Leah Callan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861473977 PECOS PAC ID: 1557345808 Enrollment ID: I20040615001208 |
| Provider Name | Yvonne R Rizk |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1417968348 PECOS PAC ID: 1850345992 Enrollment ID: I20050310000865 |
| Provider Name | Julie S Thibert |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467417626 PECOS PAC ID: 3870508088 Enrollment ID: I20060209000165 |
| Provider Name | Dennis C Loura |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548320583 PECOS PAC ID: 3476569575 Enrollment ID: I20060227000683 |
| Provider Name | Susan Wareing |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861411449 PECOS PAC ID: 8022021385 Enrollment ID: I20060803000285 |
| Provider Name | Terri A Sullivan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225052160 PECOS PAC ID: 8426051707 Enrollment ID: I20060808000047 |
| Provider Name | Christiana Akanegbu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659607398 PECOS PAC ID: 3274720750 Enrollment ID: I20101209000619 |
| Provider Name | Tracie Costa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881975878 PECOS PAC ID: 2163740390 Enrollment ID: I20150417001408 |
| Provider Name | Rachel L Cox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023484797 PECOS PAC ID: 8820307267 Enrollment ID: I20151026000488 |
| Provider Name | Ulema Felix |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134630098 PECOS PAC ID: 0648538207 Enrollment ID: I20180103002080 |
| Provider Name | Michelle Marie Curran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841060803 PECOS PAC ID: 8820441702 Enrollment ID: I20240126001897 |
Healing Hearts Holistically Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 348 North Pearl St, Brockton, MA 02301 Phone: 508-584-3278 Fax: 508-584-3279 | |
Brockton Area Multi-services, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 801 Pleasant St, Brockton, MA 02301 Phone: 508-586-5977 Fax: 508-583-5847 | |
Urogynob Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 830 Oak St, Suite 102w, Brockton, MA 02301 Phone: 508-897-4790 Fax: 508-897-4778 | |
Freccero Medical Associates Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 77 Byron Ave, Brockton, MA 02301 Phone: 508-583-7595 Fax: 508-559-2278 | |
Gis Services 2, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 189 Quincy St, Brockton, MA 02302 Phone: 508-588-6700 Fax: 508-584-3010 | |
Ambama Clinic Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 56 Cottage Grove Ave, Brockton, MA 02301 Phone: 617-296-0720 Fax: 617-296-5166 |