Northeast Gastroenterology Associates, Llc - Medicare Primary Care in Salem, NH

Northeast Gastroenterology Associates, Llc is a medicare enrolled primary clinic (Internal Medicine - Gastroenterology) in Salem, New Hampshire. The current practice location for Northeast Gastroenterology Associates, Llc is 2 Manor Pkwy Ste 5, Salem, New Hampshire. For appointments, you can reach them via phone at (603) 898-5082. The mailing address for Northeast Gastroenterology Associates, Llc is 55 Bridge St, Manchester, New Hampshire and phone number is () -.

Northeast Gastroenterology Associates, Llc is licensed to practice in Massachusetts (license number 60421). The clinic also participates in the medicare program and its NPI number is 1922199348. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (603) 898-5082.

Contact Information

Northeast Gastroenterology Associates, Llc
2 Manor Pkwy Ste 5
Salem
NH 03079-4871
(603) 898-5082
(603) 890-5453

Primary Care Clinic Profile

Full NameNortheast Gastroenterology Associates, Llc
SpecialityInternal Medicine
Location2 Manor Pkwy Ste 5, Salem, New Hampshire
Authorized Official Name and PositionNicholas Vailas (MANAGING MEMBER)
Authorized Official Contact6032324513
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Northeast Gastroenterology Associates, Llc
55 Bridge St
Manchester
NH 03101-1603

Ph: () -
Northeast Gastroenterology Associates, Llc
2 Manor Pkwy Ste 5
Salem
NH 03079-4871

Ph: (603) 898-5082

NPI Details:

NPI Number1922199348
Provider Enumeration Date09/28/2006
Last Update Date05/17/2023

Medicare PECOS Information:

Medicare PECOS PAC ID8123067998
Medicare Enrollment IDO20050502000045

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Medical Identifiers

Medical identifiers for Northeast Gastroenterology Associates, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1922199348NPI-NPPES
697398OtherMATUFTS GROUP NUMBER
9784594MedicaidMA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RG0100XInternal Medicine - Gastroenterology 60421 (Massachusetts)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Northeast Gastroenterology Associates, Llc acts as a billing entity for following providers:
Provider NameMaurice B Cohen
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1851482277
PECOS PAC ID: 5395784169
Enrollment ID: I20060327000753

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Provider NameRaja A Rehman
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1760573182
PECOS PAC ID: 2264456052
Enrollment ID: I20120803000038

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