MEDICARE: DR. JAY GREGORY STEARNS M.D.

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
1	2084P0800X	Psychiatry Physician	42442	MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	754171	OTHER	MA	TUFTS HEALTH PLAN
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	103866	OTHER	MO	MAGELLAN BEHAVIORAL HEALT
4	J20065	OTHER	MA	BLUE CROSS/ BLUE SHIELD

General Provider Information

NPI Number	:	1073576096
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAY GREGORY STEARNS M.D.

Provider Business Mailing Address
First Line	:	460 W MAIN ST
Second Line	:
City	:	HYANNIS
State	:	MA
Zip	:	02601-3653
Country	:	US
Telephone Number	:	508-862-5504
Fax Number	:	508-790-3304

Provider Business Practice Location Address
First Line	:	460 W MAIN ST
Second Line	:
City	:	HYANNIS
State	:	MA
Zip	:	02601-3653
Country	:	US
Telephone Number	:	508-862-5504
Fax Number	:	508-790-3304

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/10/2006
Last Update Date	:	03/23/2017

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