| Tufts Medical Center Community Care, Inc | |
|
325 Wood Rd Suite 210 Braintree MA 02184-2413 | |
| (781) 356-3336 | |
| Not Available |
| Full Name | Tufts Medical Center Community Care, Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 325 Wood Rd, Braintree, Massachusetts |
| Authorized Official Name and Position | Nathan J. Gagne (CFO) |
| Authorized Official Contact | 7813563336 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tufts Medical Center Community Care, Inc 325 Wood Rd Suite 210 Braintree MA 02184-2413 Ph: (781) 356-3336 | Tufts Medical Center Community Care, Inc 325 Wood Rd Suite 210 Braintree MA 02184-2413 Ph: (781) 356-3336 |
| NPI Number | 1063805687 |
|---|---|
| Provider Enumeration Date | 03/06/2015 |
| Last Update Date | 09/14/2020 |
| Certification Date | 09/14/2020 |
| Medicare PECOS PAC ID | 4981915659 |
|---|---|
| Medicare Enrollment ID | O20150622001934 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063805687 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| 208000000X | Pediatrics | () | Secondary |
| Provider Name | Renee M Goetzler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134118508 PECOS PAC ID: 5597747808 Enrollment ID: I20040602000126 |
| Provider Name | Daniel F Driscoll |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942290853 PECOS PAC ID: 1759369721 Enrollment ID: I20040708000187 |
| Provider Name | Marvin Diaz Lacayo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477590214 PECOS PAC ID: 6709899024 Enrollment ID: I20060802000511 |
| Provider Name | Nathaniel F Brown |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336132745 PECOS PAC ID: 7517968803 Enrollment ID: I20070130000204 |
| Provider Name | Harveen Singh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023007200 PECOS PAC ID: 7113934134 Enrollment ID: I20070830000054 |
| Provider Name | Natalia Rosenberg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598763310 PECOS PAC ID: 6608810320 Enrollment ID: I20100519000401 |
| Provider Name | Susan Ross |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659407245 PECOS PAC ID: 1557544632 Enrollment ID: I20110328000287 |
| Provider Name | Burt Whitney Hall |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033211065 PECOS PAC ID: 5890738264 Enrollment ID: I20120828000195 |
| Provider Name | Shiva Gupta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437226651 PECOS PAC ID: 5799854527 Enrollment ID: I20140401002075 |
| Provider Name | Seung Jae Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700040516 PECOS PAC ID: 8820267578 Enrollment ID: I20141213000094 |
| Provider Name | Kerrilyn Pessin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285023291 PECOS PAC ID: 1850619305 Enrollment ID: I20150413000916 |
| Provider Name | Shawn Shroff |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306105283 PECOS PAC ID: 5496065724 Enrollment ID: I20151117000727 |
| Provider Name | Karishma Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194135509 PECOS PAC ID: 1052611696 Enrollment ID: I20170911001095 |
| Provider Name | Haili Dunbar |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1821535964 PECOS PAC ID: 6204100464 Enrollment ID: I20170927000369 |
| Provider Name | Liam Jette |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184005431 PECOS PAC ID: 3971892605 Enrollment ID: I20181017002057 |
| Provider Name | Yulia Rapoport |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376041905 PECOS PAC ID: 9739420241 Enrollment ID: I20190410002358 |
| Provider Name | Andrea Nicole Wing |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316440399 PECOS PAC ID: 3173888948 Enrollment ID: I20190723000526 |
| Provider Name | Jennifer Saenz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467751859 PECOS PAC ID: 3971726258 Enrollment ID: I20200901002026 |
| Provider Name | Julie Ngo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922632645 PECOS PAC ID: 9638574155 Enrollment ID: I20210823000504 |
| Provider Name | Nitika Bansal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821470691 PECOS PAC ID: 8729396098 Enrollment ID: I20211028002007 |
| Provider Name | Christopher Charles Fragale |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275751794 PECOS PAC ID: 4486883337 Enrollment ID: I20220325001039 |
| Provider Name | Andrew Gallagher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518429588 PECOS PAC ID: 4880078898 Enrollment ID: I20220824003635 |
| Provider Name | Alessandra Petrelli |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1518641497 PECOS PAC ID: 4688029705 Enrollment ID: I20231010002221 |
| Provider Name | Adelle Meng Zhen Paquette |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1295423424 PECOS PAC ID: 0345689253 Enrollment ID: I20240411002082 |
| Provider Name | Margaret Sophie Jannetty |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1457247801 PECOS PAC ID: 9931608197 Enrollment ID: I20250815002176 |
Blue Hills Medical Associates Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 340 Wood Rd, Suite 203, Braintree, MA 02184 Phone: 781-849-1111 |
Urgent Help Chelmsford PC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 485 Granite St, Braintree, MA 02184 Phone: 781-848-2273 |
Blue Hills Medical Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 340 Wood Rd Ste 203, Braintree, MA 02184 Phone: 781-849-1111 Fax: 781-794-2280 |
Rehabilitation Medical Associates, P.C. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 250 Pond St, Braintree, MA 02184 Phone: 781-848-1300 Fax: 781-356-1829 |
Smart Health Solutions LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 550 Liberty St, Braintree, MA 02184 Phone: 316-304-2912 |
Arthur R Bregoli Jr MD PC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 400 Washington St, Suite 402, Braintree, MA 02184 Phone: 781-849-7330 |