Ann L Eldridge, M.D.
Individual provider Active NPI Dermatology Physician · Chatham, MA
NPI 1023123791 · NPPES record last updated Sep 20, 2007
Key facts
- NPI
- 1023123791
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dermatology Physician 207N00000X
- License
- 76776 (MA)
- Practice address
- 60 Munson Meeting Way Ste K
Chatham, MA 02633-1992 - Phone
- (508) 945-0022
- NPI assigned
- Aug 20, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
Merit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050524001218 | MA | Practitioner - Dermatology | 2961444500 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ann L Eldridge MD PC | Dermatology | Current |
Accepting new patients |
Locations
60 Munson Meeting Way
Ste K
Chatham, MA 02633
Phone (508) 945-0022
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 76776 | MA | Yes |
Addresses
Primary practice location
60 Munson Meeting Way Ste K
Chatham, MA 02633-1992
Mailing address
60 Munson Meeting Way Ste K
Chatham, MA 02633-1992
Phone (508) 945-0022
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3116352 | Medicaid | MA | |
| J13466 | Other | MA | BC/BS |
Other providers in Chatham, MA
- Coastal Counseling Services LLC
- Neill S Cowles
- Michelle Santoro Curet
- CVS Pharmacy Inc
- Jessica Lynn D Acosta
- Ally Foster
- Kristen Alicia French
- Hamilton M. Sporborg, DDS, PC
- Health Improvement Consultants LLC
- Mariela Emma Horsfall
All providers in Chatham, MA · Dermatology Physician in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 20, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.