Meredith Paige Gilson, M.D.
Individual provider Active NPI Family Medicine Physician · Bourne, MA
NPI 1528058781 · NPPES record last updated Apr 15, 2008
Key facts
- NPI
- 1528058781
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 224177 (MA)
- Practice address
- 2 Technology Park Dr
Suite a
Bourne, MA 02532-8341 - Phone
- (508) 743-9543
- Fax
- (508) 743-8335
- NPI assigned
- Oct 27, 2005
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 7
Hospital & facility affiliations 12
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Virginia Commonwealth University, School of Medicine, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Atrius Health Inc
Physiotherapy Associates Inc
Practice addresses (Care Compare)
100 2ND Ave
Needham, MA 02494-2809
Phone (781) 726-4800
133 Brookline Ave
Boston, MA 02215-3904
Phone (617) 421-1000
2 Technology Park Dr
Suite a
Bourne, MA 02532-8341
Phone (508) 743-9543
21 Bristol Dr
South Easton, MA 02375-1199
Phone (774) 302-5700
3119 Cranberry Hwy
Suite 5
East Wareham, MA 02538-4840
Phone (508) 759-5411
36 Shops at 5 Way
Plymouth, MA 02360-2677
Phone (774) 608-3700
77 Herrick St
Suite 101
Beverly, MA 01915-2734
Phone (978) 927-4110
Hospital & facility affiliations
- Vna of Cape Cod
- Bayada Home Health Care , Inc
- Caretenders
- Visiting Nurse Association of Cape Cod Hospice
- Beth Israel Deaconess Hospital Plymouth
- Falmouth Hospital
- Southcoast Hospitals Group
- Cape Cod Hospital
- Spaulding Rehabilitation Hospital - Cape Cod
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
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 |
|---|---|---|---|---|
| I20061229000159 | MA | Practitioner - Family Practice | 1658371455 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 224177 | MA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atrius Health, Inc. | Current | Accepting new patients | |
| Atrius Health, Inc. | Family Medicine | Current |
Accepting new patients |
| Atrius Health, Inc. | Current |
Accepting new patients | |
| Atrius Health, Inc. | Past | Accepting new patients | |
| Jordan Physician Associates, Inc. | Family Medicine | Past | Accepting new patients |
| Jordan Physician Associates, Inc. | Past | Accepting new patients |
Locations
147 Milk St
Boston, MA 02109
Phone (617) 421-2508
133 Brookline Ave
Boston, MA 02215
Phone (617) 421-1000
2 Technology Park Dr
Ste A
Bourne, MA 02532
Phone (508) 743-0980
10 Cordage Park Cir
Ste 201
Plymouth, MA 02360
Phone (508) 746-6096
362 Court St
Plymouth, MA 02360
Phone (508) 746-7543
Interoperability endpoints
- mgilsonmd194881@direct.atrius.masshiway.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 224177 | MA | Yes |
Addresses
Primary practice location
2 Technology Park Dr
Suite a
Bourne, MA 02532-8341
Mailing address
139 Sandwich St
Plymouth, MA 02360-2449
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000033881 | Other | MA | BMC HEALTHNET PLAN |
| 491654 | Other | MA | US FAMILY HEALTH |
| J29956 | Other | MA | BCBSMA |
| 494744 | Other | MA | TUFTS HEALTH PLAN |
| AA61334 | Other | MA | HARVARD PILGRIM |
| 2117029 | Medicaid | MA | |
| 1166205 | Other | MA | AETNA US HEALTHCARE |
NPI Registry JSON
{
"created_epoch": "1130371200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208217600000",
"number": "1528058781",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "139 SANDWICH ST",
"city": "PLYMOUTH",
"state": "MA",
"postal_code": "023602449"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 TECHNOLOGY PARK DR",
"address_2": "SUITE A",
"city": "BOURNE",
"state": "MA",
"postal_code": "025328341",
"telephone_number": "508-743-9543",
"fax_number": "508-743-8335"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILSON",
"first_name": "MEREDITH",
"middle_name": "PAIGE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-10-27",
"last_updated": "2008-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MA",
"license": "224177",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BMC HEALTHNET PLAN",
"identifier": "000000033881",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "US FAMILY HEALTH",
"identifier": "491654",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSMA",
"identifier": "J29956",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HEALTH PLAN",
"identifier": "494744",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM",
"identifier": "AA61334",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2117029",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA US HEALTHCARE",
"identifier": "1166205",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bourne, MA
- Rachel Freedman
- Adam Derek Friedman
- Cheryl Garrity
- Christopher David Gellert
- Johanna Ghossein
- Jeffrey Joseph Glavin
- Carey Lynne Gould
- Hannah Mary Grassi
- Patrick Griffin
- Harbor Healing Arts LLC
All providers in Bourne, MA · Family Medicine 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 Apr 15, 2008. 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.