Daniel Zawalich
Individual provider Active NPI Medical Physician Assistant · Turners Falls, MA
NPI 1023664109 · NPPES record last updated Dec 20, 2019
Key facts
- NPI
- 1023664109
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- License
- PA7136 (MA)
- Practice address
- 8 Burnham St
Turners Falls, MA 01376-1816 - Phone
- (413) 322-4000
- NPI assigned
- Aug 14, 2019
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 9
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Mass General Brigham Medical Group Northern Massachusetts Inc
Mass General Brigham Community Physicians Inc
Practice addresses (Care Compare)
1 Hutchinson Dr
Danvers, MA 01923-3748
Phone (978) 739-6950
1 Park Way
Haverhill, MA 01830-6278
Phone (978) 521-3210
500 Merrimack St
Lawrence, MA 01843-1981
Phone (978) 557-8900
Hospital & facility affiliations
- Anna Jaques Hospital
- North Shore Medical Center -
- Merrimack Health Lawrence Hospital
- Massachusetts General Hospital
- Northeast Rehabilitation Hospital
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: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200122002126 | MA | Practitioner - Physician Assistant | 1658706577 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA7136 | MA | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pentucket Medical Associates, LLC | Current | Accepting new patients | |
| Mass General Brigham Community Physicians Inc. | Current |
Accepting new patients | |
| Mass General Brigham Medical Group Northern Massachusetts Inc | Current |
Accepting new patients | |
| Mass General Brigham Community Physicians Inc. | Past | Accepting new patients |
Locations
1 Hutchinson Dr
Danvers, MA 01923
Phone (978) 739-6950
1 Parkway
Haverhill, MA 01830
Phone (978) 521-3210
500 Merrimack St
Lawrence, MA 01843
Phone (978) 557-8800
370 Merrimack St
Bldg 9
Lawrence, MA 01843
Interoperability endpoints
- zawalich.daniel.pma@direct.partners.masshiway.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA7136 | MA | Yes |
| Physician Assistant | 363A00000X | PA7136 | MA |
Addresses
Primary practice location
8 Burnham St
Turners Falls, MA 01376-1816
Mailing address
280 Chestnut St
Springfield, MA 01199-1001
Phone (413) 794-5700
Other providers in Turners Falls, MA
- Joseph J Viadero
- Walgreen Co
- Ambarish Walvekar
- Wilkerson & Golden Physical Therapy Associates PC
- Patricia L Wilkerson
- Nicholas Zolnierowski
All providers in Turners Falls, MA · Medical Physician Assistant in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 20, 2019. 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.