Mark Mavilia (NPI# 1306204284, PAC ID# 4486940020) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1306204284 |
| PAC ID by PECOS | 4486940020 |
| Professional Enrollment ID | I20160908001665 |
| Full Name | Mark Mavilia |
| Organization Legal Name | TRISTAN MEDICAL PC |
| Address |
675 Paramount Dr Suite 203 Raynham MA 02767-5416 |
| Phone Number | 5088800012117 |
| Gender | M |
| Graduation Year | 2016 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 9739141037 |
| Number of Group Practice Members | 19 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 220073 | MORTON HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 675 Paramount Dr, Suite 203, Raynham, MA 02767-5416 | 5088800012117 | TRISTAN MEDICAL PC |
| Organization Legal Name | TRISTAN MEDICAL PC |
| Physicians | 14 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rachel L Cox | Nurse Practitioner | Tristan Medical PC | 184 W Main St, Norton, MA 02766-1243 |
| Brett Stecker | Family Medicine | Tristan Medical PC | 675 Paramount Dr, Suite 203, Raynham, MA 02767-5416 |
| Leah Callan | Nurse Practitioner | Tristan Medical PC | 210 Washington St, Fairhaven, MA 02719-4044 |
| Eric N Haas | Physician Assistant | Tristan Medical PC | 675 Paramount Dr, Suite 203, Raynham, MA 02767-5416 |
| Terri A Sullivan | Nurse Practitioner | Tristan Medical PC | 184 W Main St, Norton, MA 02766-1243 |
| Emily Eynatian | Physician Assistant | Tristan Medical PC | 675 Paramount Dr, Suite 203, Raynham, MA 02767-5416 |
| Yvonne R Rizk | Interventional Pain Management | Tristan Medical PC | 675 Paramount Dr, Suite 203, Raynham, MA 02767-5416 |
| Julie S Thibert | Internal Medicine | Tristan Medical PC | 675 Paramount Dr, Suite 203, Raynham, MA 02767-5416 |
| Kelsey Laurel Murphy | Nurse Practitioner | Tristan Medical PC | 675 Paramount Dr, Suite 203, Raynham, MA 02767-5416 |
| Christiana Akanegbu | Nurse Practitioner | Tristan Medical PC | 675 Paramount Dr, Suite 203, Raynham, MA 02767-5416 |
| Street Address |
675 PARAMOUNT DR SUITE 203 |
| City | RAYNHAM |
| State | MA |
| Zip | 02767-5416 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brett Stecker | Family Medicine | Tristan Medical PC | 675 Paramount Dr, Suite 203, Raynham, MA 02767-5416 |
| Eric N Haas | Physician Assistant | Tristan Medical PC | 675 Paramount Dr, Suite 203, Raynham, MA 02767-5416 |
| Scott Mandel | Orthopedic Surgery | Orthopedic Care Physician Network, LLC | 675 Paramount Dr, Raynham, MA 02767-5416 |
| Catherine E Johnson | Physical Therapy | Physical Therapy and Fitness Center of Raynham, Inc. | 675 Paramount Dr, Suite 103, Raynham, MA 02767-5416 |
| Emily Eynatian | Physician Assistant | Tristan Medical PC | 675 Paramount Dr, Suite 203, Raynham, MA 02767-5416 |
| Elena Sophia Manning | Podiatry | Orthopedic Care Physician Network, LLC | 675 Paramount Dr, Raynham, MA 02767-5416 |
| Yvonne R Rizk | Interventional Pain Management | Tristan Medical PC | 675 Paramount Dr, Suite 203, Raynham, MA 02767-5416 |
| Julie S Thibert | Internal Medicine | Tristan Medical PC | 675 Paramount Dr, Suite 203, Raynham, MA 02767-5416 |
| Scott I Worobey | Physical Therapy | Physical Therapy and Fitness Center of Raynham, Inc. | 675 Paramount Dr, Suite 103, Raynham, MA 02767-5416 |
| Kelsey Laurel Murphy | Nurse Practitioner | Tristan Medical PC | 675 Paramount Dr, Suite 203, Raynham, MA 02767-5416 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Doretta J Lowney | Clinical Social Worker | 534 New State Hwy, Suite 4, Raynham, MA 02767 | |
| Richard M Lubas | Optometry | 36 Paramount Dr, Raynham, MA 02767-1001 | |
| Brian A Kenny | Internal Medicine | Physician Onsite Inc | 546 S St E, C/o Life Care Center of Raynham, Raynham, MA 02767-1079 |
| Helene L Miss | Clinical Social Worker | 64 Macy St, Raynham, MA 02767-1328 | |
| Melissa R Willette | Nurse Practitioner | Minuteclinic Diagnostic of Massachusetts, LLC | 266 Route 44, Raynham, MA 02767-1403 |
| Qiqi Cui | Optometry | 160 Broadway, Raynham, MA 02767-1414 | |
| Leo S Arcand | Chiropractic | Arcand Chiropractic Office P.C. | 114 Broadway, Raynham, MA 02767-1414 |
| Ashley J Arcand | Chiropractic | Arcand Chiropractic Office P.C. | 114 Broadway, Raynham, MA 02767-1414 |
| Cathleen C Grant | Clinical Social Worker | 825 Broadway, Raynham, MA 02767-1734 | |
| Cheng-chieh Chuang | Family Medicine | 416 Broadway, Raynham, MA 02767-1737 | |
| Find all physicians in zip 02767 | |||
| City | RAYNHAM |
| Zip Code | 02767 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | RAYNHAM + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Mark Mavilia.
| 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.