Megan Christine Dibble Sirota

M.D. | Pediatric Cardiology | Female

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Complete Profile:

Megan Christine Dibble Sirota basic information including her official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Pediatric Cardiology
Provider Name :	Megan Christine Dibble Sirota
Other Name :	Megan Dibble
Credential :	M.D.
Gender :	Female

Business Address:

Megan Christine Dibble Sirota address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	55 Fruit St Boston, MA, 02114-2696 United States
Phone Number :	413-315-3117

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1720498850
NPI Entity Type :	Individual
First Enrolment Date :	28 Apr, 2014
Last Updated On :	08 Jun, 2022

Medicare Participation:

Megan Christine Dibble Sirota participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	3577788769
Medicare Enrollment ID :	I20220623001979
Primary Specialty :	Pediatric Medicine
Medical School :	Virginia Commonwealth University, School Of Medicine
Graduation Year :	2014
Accepts Medicare?	Yes. Megan Christine Dibble Sirota accepts medicare insurance.

Group Practice Association:

Megan Christine Dibble Sirota is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Megan Christine Dibble Sirota is associated with along with the number of members in that group. She may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
Massachusetts General Physicians Organization Inc	2466365820	2938	55 Fruit St Boston, MA - 021142696 Ph: 6177240287	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Megan Christine Dibble Sirota are as mentioned. Primary taxonomy code for Megan Christine Dibble Sirota, M.D. is 2080P0202X (Pediatrics Pediatric Cardiology).

Taxonomy Code	Speciality	Primary	License No.	State
208000000X	Pediatrics	No	285527	MA
2080P0202X	Pediatrics Pediatric Cardiology	No	10459057-1205	UT
2080P0202X	Pediatrics Pediatric Cardiology	Yes	285527	MA

Legacy Identifiers:

Other legacy medical identifiers of Megan Christine Dibble Sirota such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.

Identifier	Identifier Type	State	Issuer
110169675A	MEDICAID	MA
008078876	MEDICAID	CT

Other Practice Locations:

Practice Address	City, State	Phone Number
1754 NORTHAMPTON STREET, HOLYORE, MA, 01040-1947 United States	HOLYORE, MA	413-315-3117

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	1754 Northampton Street Holyore, MA, 01040-1947 United States
Phone Number :	413-315-3117
Fax Number :	866-229-2767

Business Location:

Patients can refer following map for directions to Megan Christine Dibble Sirota practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.