Philip S Ellerin (NPI# 1619067816, PAC ID# 1951335694) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1619067816 |
| PAC ID by PECOS | 1951335694 |
| Professional Enrollment ID | I20050922000546 |
| Full Name | Philip S Ellerin |
| Organization Legal Name | DERMPHYSICIANS OF NEW ENGLAND LLC |
| Address |
172 Cambridge St Suite 204 Burlington MA 01803-2984 |
| Phone Number | 7812727022 |
| Gender | M |
| Credential | MD |
| Medical School | TUFTS UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1965 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 0749522969 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 172 Cambridge St, Suite 204, Burlington, MA 01803-2984 | 7812727022 | DERMPHYSICIANS OF NEW ENGLAND LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_047_overall | Care Plan | 28% | |
| MIPS_EC_238_2+ | Use of High-Risk Medications in the Elderly (100%: worst, 0% best) | 0% | |
| MIPS_EC_238_overall | Use of High-Risk Medications in the Elderly (100%: worst, 0% best) | 1% | |
| MIPS_EC_265_overall | Biopsy Follow-Up | 100% | |
| MIPS_EC_402_overall | Tobacco Use and Help with Quitting Among Adolescents | 84% |
| Organization Legal Name | DERMPHYSICIANS OF NEW ENGLAND LLC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lisa Samson | Physician Assistant | Dermphysicians of New England LLC | 172 Cambridge St, Suite 204, Burlington, MA 01803-2984 |
| Katherine S Masterpol | Dermatology | Dermphysicians of New England LLC | 172 Cambridge St, Suite 204, Burlington, MA 01803-2984 |
| Gary W Mendese | Dermatology | Dermphysicians of New England LLC | 172 Cambridge St, Suite 204, Burlington, MA 01803-2984 |
| Street Address |
172 CAMBRIDGE ST SUITE 204 |
| City | BURLINGTON |
| State | MA |
| Zip | 01803-2984 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lisa Samson | Physician Assistant | Dermphysicians of New England LLC | 172 Cambridge St, Suite 204, Burlington, MA 01803-2984 |
| Katherine S Masterpol | Dermatology | Dermphysicians of New England LLC | 172 Cambridge St, Suite 204, Burlington, MA 01803-2984 |
| Alec J Smail | Optometry | Eye Associates PC | 172 Cambridge St, Burlington, MA 01803-2921 |
| Phillip M Gendelman | Ophthalmology | Eye Associates PC | 172 Cambridge St, Burlington, MA 01803-2921 |
| Robin F Steinberg | Ophthalmology | Eye Associates PC | 172 Cambridge St, Burlington, MA 01803-2921 |
| Deborah E Zuckerman | Ophthalmology | Eye Associates PC | 172 Cambridge St, Burlington, MA 01803-2921 |
| David S Gendelman | Ophthalmology | Eye Associates PC | 172 Cambridge St, Burlington, MA 01803-2921 |
| Gary W Mendese | Dermatology | Dermphysicians of New England LLC | 172 Cambridge St, Suite 204, Burlington, MA 01803-2984 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert E Segool | Optometry | 112 Winn St, Robert E Segool Od, Burlington, MA 01803-1546 | |
| Claudine Y Kawabata | Optometry | Burlington Vision Associates Inc | 385 Cambridge St, Burlington, MA 01803-1944 |
| Mark A Traveis | Optometry | Burlington Vision Associates Inc | 385 Cambridge St, Burlington, MA 01803-1944 |
| David J Carroll | Podiatry | Burlington Podiatry Assoc PC | 281 Cambridge St, Burlington, MA 01803-2543 |
| Kenneth B Levine | Optometry | 279 Cambridge St, Suite 4, Burlington, MA 01803-2548 | |
| Robert S Stipek | Podiatry | 265 Winn St, Suite 104, Burlington, MA 01803-2632 | |
| Charleen D Amato | Chiropractic | 175 Cambridge St, Burlington, MA 01803-2923 | |
| Ann M Sapira | Clinical Social Worker | 2 Sleeper Dr, Burlington, MA 01803-3027 | |
| Matthew C Guy Jr. | Chiropractic | 21 A St, Burlington, MA 01803-3404 | |
| Natalya Perlov | Physical Therapy | 37 B St, Burlington, MA 01803-3406 | |
| Find all physicians in zip 01803 | |||
| City | BURLINGTON |
| Zip Code | 01803 |
| Specialty | DERMATOLOGY |
| City + Specialty | BURLINGTON + DERMATOLOGY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.