Basic Information
| Provider Information | |||||||||
| NPI: | 1386637064 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SCHWEITZER | ||||||||
| FirstName: | JANE | ||||||||
| MiddleName: | G | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 51 MAIN ST | ||||||||
| Address2: | SUITE 4-5 | ||||||||
| City: | HYANNIS | ||||||||
| State: | MA | ||||||||
| PostalCode: | 026013109 | ||||||||
| CountryCode: | US | ||||||||
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| Practice Location | |||||||||
| Address1: | 243 CHARLES ST | ||||||||
| Address2: | |||||||||
| City: | BOSTON | ||||||||
| State: | MA | ||||||||
| PostalCode: | 021143002 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6175237900 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 08/26/2005 | ||||||||
| LastUpdateDate: | 05/31/2017 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207W00000X | 219813 | MA | Y | Allopathic & Osteopathic Physicians | Ophthalmology |
ID Information
| ID | Type | State | Issuer | Description | J27133 | 01 | MA | BLUE CROSS BLUE SHIELD | OTHER | 000000029643 | 01 | MA | BMC HEALTHNET | OTHER | 1386637064 | 05 | MA | MEDICAID | AA10462 | 01 | MA | PILGRIM HEALTH | OTHER | 4459823 | 01 | MA | AETNA | OTHER | 713328 | 01 | MA | TUFTS | OTHER | 0402577 | 01 | MA | CIGNA | OTHER |