MEDICARE: BLUE HILL PAIN CARE PLLC

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	208VP0014X	Interventional Pain Medicine Physician	51193	MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1861823783
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BLUE HILL PAIN CARE PLLC

Provider Business Mailing Address
First Line	:	639 GRANITE ST STE 215
Second Line	:
City	:	BRAINTREE
State	:	MA
Zip	:	02184-5371
Country	:	US
Telephone Number	:	781-817-5383
Fax Number	:	781-817-6177

Provider Business Practice Location Address
First Line	:	639 GRANITE ST STE 215
Second Line	:
City	:	BRAINTREE
State	:	MA
Zip	:	02184-5371
Country	:	US
Telephone Number	:	781-817-5383
Fax Number	:	781-817-5383

Authorized Official
Title or Position	:	OWNER
Name	:	JEFFREY S JACKEL
Credential	:	MD
Telephone Number	:	781-817-5383

Provider Enumeration Date	:	12/03/2013
Last Update Date	:	02/06/2020

Similar Medicare Providers

1780541920 — SUNSHINE BEHAVIORAL HEALTHCARE PLLC
Practice Location Address:

639 GRANITE ST STE 204
BRAINTREE, MA
02184-5371

Practice Phone: 617-286-6394
Practice Fax:

1215915327 — JEFFREY S JACKEL MD
Practice Location Address:

639 GRANITE ST STE 215
BRAINTREE, MA
02184-5371

Practice Phone: 781-817-5383
Practice Fax:

1851257018 — MARYJOE IGWEIKE RN
Practice Location Address:

12 ATLAS RD
BRAINTREE, MA
02184-4306

Practice Phone: 530-220-3949
Practice Fax:

1427915289 — ZULAYKHA ALI
Practice Location Address:

10 FORBES RD STE 190
BRAINTREE, MA
02184-2622

Practice Phone: 720-621-0566
Practice Fax:

1689265902 — MARPHA MARS LICSW
Practice Location Address:

220 FORBES RD # R
BRAINTREE, MA
02184-2705

Practice Phone: 781-794-4351
Practice Fax:

1801753934 — FRITZ G BARTHELEMY
Practice Location Address:

20 MCCUSKER DR
BRAINTREE, MA
02184-4254

Practice Phone: 774-625-2623
Practice Fax:

Directions to “BLUE HILL PAIN CARE PLLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.