| Value In Prevention Of Massachusetts, Llc | |
|
257 Station Ave South Yarmouth MA 02664-1842 | |
| (508) 394-2017 | |
| (508) 398-6680 |
| Full Name | Value In Prevention Of Massachusetts, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 257 Station Ave, South Yarmouth, Massachusetts |
| Authorized Official Name and Position | Andrea Klemes (MANAGER) |
| Authorized Official Contact | 5619824300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Value In Prevention Of Massachusetts, Llc Po Box 23057 Belfast ME 04915-4481 Ph: (561) 982-4300 | Value In Prevention Of Massachusetts, Llc 257 Station Ave South Yarmouth MA 02664-1842 Ph: (508) 394-2017 |
| NPI Number | 1689175846 |
|---|---|
| Provider Enumeration Date | 02/23/2018 |
| Last Update Date | 07/03/2018 |
| Medicare PECOS PAC ID | 6406110774 |
|---|---|
| Medicare Enrollment ID | O20180514002582 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689175846 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Eric A Weber |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376572966 PECOS PAC ID: 6901799105 Enrollment ID: I20040203000347 |
| Provider Name | Kimberly R Buckman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699793786 PECOS PAC ID: 8527250174 Enrollment ID: I20101014000455 |
| Provider Name | Mario A Zacharatos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831359637 PECOS PAC ID: 7618023367 Enrollment ID: I20180529001212 |
Truenorth360 Medical Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 93 N Main St, South Yarmouth, MA 02664 Phone: 720-201-0708 Fax: 888-862-4414 |