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NPI Code Detail

MEDICARE: ESSENT HEALTHCARE - AYER, INC.

MEDICARE: ESSENT HEALTHCARE - AYER, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1282N00000XGeneral Acute Care Hospital2298MA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
3M21244OTHERMEDICARE PART B

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12222009810OTHERMABLUE CROSS OUTPATIENT
22222009801OTHERMABLUE CROSS INPATIENT
4903837OTHERHARVARD PILGRIM HC
5136598CFOTHERPREFERRED CARE
6974225OTHERNETWORK HEALTH
7982010OTHERTUFTS OUTPATIENT
8MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
9MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
106300130OTHERAETNA US HEALTHCARE
11982011OTHERTUFTS INPATIENT

General Provider Information

NPI Number : 1164427431
Entity Type Code : Organization
Provider Name (Legal Business Name) : ESSENT HEALTHCARE - AYER, INC.
Provider Business Mailing Address
First Line : 200 GROTON RD
Second Line :
City : AYER
State : MA
Zip : 01432-1168
Country : US
Telephone Number : 978-784-9000
Fax Number :
Provider Business Practice Location Address
First Line : 200 GROTON RD
Second Line :
City : AYER
State : MA
Zip : 01432-1168
Country : US
Telephone Number : 978-784-9000
Fax Number :
Authorized Official
Title or Position : VP REIMBURSEMENT
Name : JUDY GIBSON
Credential :
Telephone Number : 615-312-5106
Provider Enumeration Date : 06/14/2005
Last Update Date : 05/16/2011

Similar Medicare Providers

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Practice Location Address:
200 GROTON RD
AYER, MA
01432-1168
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AYER, MA
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1215918057 — MAGDY SALAMA MD
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1770565657 — COLIN BLAKE MD
Practice Location Address:
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AYER, MA
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Practice Fax:
1629036090 — MARY L BAKALOS M.D.
Practice Location Address:
200 GROTON RD , NASHOBA VALLEY MEDICAL CENTER
AYER, MA
01432-1168
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Practice Fax:
1285682450 — SANJAY BASU MD
Practice Location Address:
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01432-1168
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Directions to “ESSENT HEALTHCARE - AYER, INC. ” Practice Location

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