A. MICHELE RICARD

Address: 124 Pleasant Street, Berlin, MA 01503-2070
Phone: 9787712343

A. MICHELE RICARD (NPI# 1235111303) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1235111303
Entity Type 1 - Individual
Full Name A. MICHELE RICARD
Other Name ANN MICHELE RICARD
Credential MD
Practice Address 124 Pleasant Street
Berlin
MA 01503-2070
Mailing Address Po Box 1070
Berlin
MA 01503-2070
Practice Telephone 9787712343
Enumeration Date 11/15/2005
Last Update Date 01/08/2018
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine 38517 MA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
FIRST HEALTH 2105073 01
CHILDRENS MED SECURITY PL 45519 01
FALLON COMMUNITY HLTH PL 4768 01
MVP HEALTH CARE 784076 01
HARVARD PILGRIM HEALTHCAR AA2365 01
MEDICARE B B22015 01
PRIVATE HEALTHCARE SYSTEM 042472266 01
TRICARE/CHAMPUS 042472266008 01
EVERCARE 0404598 01
BLUE SHIELD HMO BLUE B22015 01
ONE HEALTH PLAN 042472266 01
THREE RIVERS 042472266 01
RAILROAD MEDICARE 380001952 01
HEALTHY START 45519 01
MEDICAID/WELFARE 0101699 01
AETNA/US HEALTHCARE 4582679 01
BLUE CARE ELECT B22015 01
BLUE SHIELD INDEMNITY B22015 01

Office Location

Street Address 124 PLEASANT STREET
City BERLIN
State MA
Zip Code 01503-2070

Competitor

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City BERLIN
Zip Code 01503

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.