| Worcester Internal Medicine, Inc. | |
|
416 Belmont St Worcester MA 01604-1086 | |
| (508) 756-1808 | |
| (508) 798-0538 |
| Full Name | Worcester Internal Medicine, Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 416 Belmont St, Worcester, Massachusetts |
| Authorized Official Name and Position | Thomas R Patnaude (OWNER) |
| Authorized Official Contact | 5087561808 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Worcester Internal Medicine, Inc. 416 Belmont St Worcester MA 01604-1086 Ph: (508) 756-1808 | Worcester Internal Medicine, Inc. 416 Belmont St Worcester MA 01604-1086 Ph: (508) 756-1808 |
| NPI Number | 1063565422 |
|---|---|
| Provider Enumeration Date | 01/19/2007 |
| Last Update Date | 12/05/2023 |
| Medicare PECOS PAC ID | 8022089440 |
|---|---|
| Medicare Enrollment ID | O20040802000222 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063565422 | NPI | - | NPPES |
| 722326 | Other | MA | TUFTS |
| 7810 | Other | MA | FALLON COMM. HEALTH PLAN |
| 9726993 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 40759 (Massachusetts) | Primary |
| Provider Name | John A Breda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508835653 PECOS PAC ID: 9436148418 Enrollment ID: I20040506001322 |
| Provider Name | Ann-marie E Sullivan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053397240 PECOS PAC ID: 0042262602 Enrollment ID: I20050211000606 |
| Provider Name | Lisa B Melville |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790804433 PECOS PAC ID: 8820041437 Enrollment ID: I20050223000664 |
| Provider Name | Robert J Mcnamee |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1033190343 PECOS PAC ID: 3577501006 Enrollment ID: I20050425000408 |
| Provider Name | Marianne Shakespeare |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073699716 PECOS PAC ID: 2365487725 Enrollment ID: I20050627000115 |
| Provider Name | Thomas R Patnaude |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316994049 PECOS PAC ID: 9830160266 Enrollment ID: I20060418000232 |
| Provider Name | Addie M Lawrence |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639231426 PECOS PAC ID: 8628078789 Enrollment ID: I20070115000052 |
| Provider Name | Bogdan Nedelescu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699732800 PECOS PAC ID: 6305916115 Enrollment ID: I20080605000646 |
| Provider Name | Katya Ostrovsky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194881789 PECOS PAC ID: 8820265978 Enrollment ID: I20120113000074 |
| Provider Name | Ramakrishna Thippanna |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760611321 PECOS PAC ID: 2163672601 Enrollment ID: I20121018000714 |
| Provider Name | Maria C Dunn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588831259 PECOS PAC ID: 7911179437 Enrollment ID: I20130321000085 |
| Provider Name | Lucy Wambui Muigai |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043437809 PECOS PAC ID: 0143469650 Enrollment ID: I20130613000254 |
| Provider Name | Phylis Muthee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598015919 PECOS PAC ID: 3375760978 Enrollment ID: I20140805001619 |
| Provider Name | Amanda J Clancey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972938983 PECOS PAC ID: 7012134018 Enrollment ID: I20140815000461 |
| Provider Name | Jennifer A Stanhope |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376927400 PECOS PAC ID: 1355658378 Enrollment ID: I20150923001034 |
| Provider Name | Kathleen M Spadoni |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649641689 PECOS PAC ID: 4385949064 Enrollment ID: I20160217001059 |
| Provider Name | Brittany Marie Westerman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598212730 PECOS PAC ID: 9739462292 Enrollment ID: I20170207000987 |
| Provider Name | Amanda J Murray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427576453 PECOS PAC ID: 2466711692 Enrollment ID: I20180117000234 |
| Provider Name | Majed Y Najjar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194107987 PECOS PAC ID: 7416248851 Enrollment ID: I20181113000350 |
| Provider Name | Kerrianne O Barreto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124421862 PECOS PAC ID: 3476870254 Enrollment ID: I20190301000866 |
| Provider Name | Kristen M Derosa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003469230 PECOS PAC ID: 6204261480 Enrollment ID: I20200116000480 |
| Provider Name | Roberta Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558070466 PECOS PAC ID: 6507237096 Enrollment ID: I20230119002956 |
| Provider Name | Josie Mcdonald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184341687 PECOS PAC ID: 4385662675 Enrollment ID: I20231120000404 |
| Provider Name | Louisa O Asiamah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790476968 PECOS PAC ID: 6901256866 Enrollment ID: I20231219002423 |
Jain Medical Group Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10 Winthrop St, Worcester, MA 01604 Phone: 508-799-4100 Fax: 508-799-2388 | |
Anthony Distefano, Jr Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 562 Lincoln St, Worcester, MA 01605 Phone: 508-852-6028 Fax: 508-721-7821 | |
Joseph J. Savitt, Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 Lincoln St, Worcester, MA 01605 Phone: 508-755-1222 Fax: 508-754-9479 | |
Demos Agiomavritis Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 385 Grove St, Suite 120, Worcester, MA 01605 Phone: 508-770-8002 Fax: 508-770-8006 | |
Community Health Link Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 72 Jacques Ave, Worcester, MA 01610 Phone: 508-860-1247 | |
Vernon Integrative Medical Group Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 10 Winthrop St, Worcester, MA 01604 Phone: 508-754-9950 Fax: 508-754-2592 |