Robert J Gagnon (NPI# 1124090493, PAC ID# 4082668934) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1124090493 |
| PAC ID by PECOS | 4082668934 |
| Professional Enrollment ID | I20050303000781 |
| Full Name | Robert J Gagnon |
| Address |
5 Precinct St Lakeville MA 02347-1468 |
| Gender | M |
| Credential | MD |
| Medical School | BROWN UNIVERSITY PROGRAM IN MEDICINE |
| Graduation Year | 1989 |
| Primary Specialty | FAMILY MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 220073 | MORTON HOSPITAL |
| 220074 | SOUTHCOAST HOSPITALS GROUP |
| Address | Phone | Organization |
|---|---|---|
| 5 Precinct St, Lakeville, MA 02347-1468 |
| Street Address |
5 PRECINCT ST |
| City | LAKEVILLE |
| State | MA |
| Zip | 02347-1468 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephen G Gouveia | Physical Therapy | 155 Millenium Cir, Suite 114, Lakeville, MA 02347-1248 | |
| Paula C Vaughan | Physician Assistant | Mobile Medical Group Ma PC | 109 Rhode Island Rd, Lakeville, MA 02347-1370 |
| Ginny L Kelly | Clinical Social Worker | Tranquil Mind and Wellness | 109 Rhode Island Rd B, Lakeville, MA 02347-1370 |
| Debra A Bulger | Clinical Social Worker | Tranquil Mind and Wellness | 109 Rhode Island Rd B, Lakeville, MA 02347-1370 |
| Catherine Green | Physician Assistant | Southcoast Physicians Group, Inc.. | 12 Main St, Lakeville, MA 02347-1606 |
| Mary Beth L Maher | Physician Assistant | Southcoast Physicians Group, Inc.. | 12 Main St, Lakeville, MA 02347-1606 |
| Jennifer C Ring | Physician Assistant | Southcoast Physicians Group, Inc.. | 12 Main St, Lakeville, MA 02347-1606 |
| Brian A. Bonenfant | Physician Assistant | Southcoast Physicians Group, Inc.. | 12 Main St, Lakeville, MA 02347-1606 |
| John W Thompson | Emergency Medicine | Southcoast Physicians Group, Inc.. | 12 Main St, Lakeville, MA 02347-1606 |
| Kristina Neto | Physician Assistant | Southcoast Physicians Group, Inc.. | 12 Main St, Lakeville, MA 02347-1606 |
| Find all physicians in zip 02347 | |||
| City | LAKEVILLE |
| Zip Code | 02347 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | LAKEVILLE + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Robert J Gagnon.
| 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.