Anne-Sophie J Gadenne, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

157989 Issued in MA

Practice address

345 Court St
Suite 202
Plymouth, MA 02360-4329

Phone

(508) 746-5300

Fax

(508) 747-2001

NPI assigned

Dec 26, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Dermatology

Education

Boston University School of Medicine, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Plymouth Dermatology Associates, PCGroup PAC ID 3577578012, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Beth Israel Deaconess Hospital Plymouth Hospital, Plymouth, MA, CCN 220060

Merit-based Incentive Payment System (MIPS)

Final score

89.66 of 100Reported as individual

Quality

79.32

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Plymouth Dermatology Associates, PC

  • Dermatology Physician
  • Plymouth, MA
  • NPI 1144362179
  Medicare reassignment Care Compare group NPD
• Plymouth Dermatology Specialists PLLC

  • Dermatology Physician
  • Plymouth, MA
  • NPI 1417741414
  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Beth Israel Deaconess Hospital Plymouth, Inc.

  • General Acute Care Hospital
  • Plymouth, MA
  • NPI 1043299001
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289347200000",
    "number": "1891850343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 COURT ST",
            "address_2": "SUITE 202",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023604329",
            "telephone_number": "508-746-5300",
            "fax_number": "508-747-2001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 COURT ST",
            "address_2": "SUITE 202",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023604329",
            "telephone_number": "508-746-5300",
            "fax_number": "508-747-2001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GADENNE",
        "first_name": "ANNE-SOPHIE",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-26",
        "last_updated": "2010-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MA",
            "license": "157989",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "070012120",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "J19552",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Russell T Fry I, PSYD
• FSJ & PN World Visions Inc
• Funtional Medicine Group Inc
• Latashia Furtado
• Fusion Behavioral Health & Fitness LLC
• Ashleigh Gaffoor, DC
• Holly M Gage
• Ashley T Gallagher, MD
• Colleen Marie Gallagher, ACSW
• Daniel Gallagher

• Dermatology Physician in Plymouth, MA
• Providers in Plymouth, MA by specialty
• Dermatology Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.