| Yarmouth Medical Center Llc | |
|
21 Aarons Way Unit 2 West Yarmouth MA 02673-2596 | |
| (508) 760-2054 | |
| (508) 760-1218 |
| Full Name | Yarmouth Medical Center Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 21 Aarons Way Unit 2, West Yarmouth, Massachusetts |
| Authorized Official Name and Position | Zouhdi A. Hajjaj (PRESIDENT) |
| Authorized Official Contact | 6179435114 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Yarmouth Medical Center Llc 10 Little Brook Rd West Wareham MA 02576-1222 Ph: (800) 841-5200 | Yarmouth Medical Center Llc 21 Aarons Way Unit 2 West Yarmouth MA 02673-2596 Ph: (508) 760-2054 |
| NPI Number | 1124304456 |
|---|---|
| Provider Enumeration Date | 11/01/2011 |
| Last Update Date | 11/30/2023 |
| Medicare PECOS PAC ID | 4981865672 |
|---|---|
| Medicare Enrollment ID | O20120405000009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124304456 | NPI | - | NPPES |
| 3019853 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Zouhdi A Hajjaj |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942262795 PECOS PAC ID: 5496767501 Enrollment ID: I20060607000263 |
| Provider Name | Chanda D Beaty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518221670 PECOS PAC ID: 1254580806 Enrollment ID: I20120926000126 |
| Provider Name | Aaron Maloy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922501824 PECOS PAC ID: 2567727530 Enrollment ID: I20180522000255 |
| Provider Name | Sara Jane Plehn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376729640 PECOS PAC ID: 1456637495 Enrollment ID: I20200107001610 |
| Provider Name | Thais A Tibbetts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437733292 PECOS PAC ID: 0648672428 Enrollment ID: I20210715004021 |
Zouhdi Hajjaj, M.d. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 21 Aarons Way Unit 2, West Yarmouth, MA 02673 Phone: 508-760-2054 Fax: 508-760-1218 | |
Yarmouth Family Practice, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 303 Route 28, West Yarmouth, MA 02673 Phone: 508-771-0911 Fax: 509-771-0025 |