Agnes Hernandez-grande, | |
2014 Washington St, Newton, MA 02462-1607 | |
(617) 243-6000 | |
Not Available |
Full Name | Agnes Hernandez-grande |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 2014 Washington St, Newton, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1376830372 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 10039704 (Texas) | Secondary |
208000000X | Pediatrics | 277302 (Massachusetts) | Primary |
Entity Name | Massachusetts General Physicians Organization Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801874573 PECOS PAC ID: 2466365820 Enrollment ID: O20031111000434 |
Entity Name | The General Hospital Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023049236 PECOS PAC ID: 6507803806 Enrollment ID: O20080313000351 |
Entity Name | Steward Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629398219 PECOS PAC ID: 2860688728 Enrollment ID: O20101119000007 |
Entity Name | Steward Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629398219 PECOS PAC ID: 2860688728 Enrollment ID: O20101119000332 |
Mailing Address | Practice Location Address |
---|---|
Agnes Hernandez-grande, 55 Fruit St, Boston, MA 02114-2621 Ph: (617) 724-4260 | Agnes Hernandez-grande, 2014 Washington St, Newton, MA 02462-1607 Ph: (617) 243-6000 |
Dr. Ronald Kenneth Pye, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2014 Washington St, Scn 6 North, Newton, MA 02462 Phone: 617-243-6296 | |
Dr. Brinda Trivedi Gupta, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2000 Washington St, Suite 466, Newton, MA 02462 Phone: 617-969-8989 Fax: 617-928-0178 | |
Susan Deborah Reuter, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2000 Washington St.reet, Suite 466, Newton, MA 02462 Phone: 617-969-8989 Fax: 617-928-0178 | |
Richard E Wilker, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2014 Washington St, Newton-wellesley Hospital, Newton, MA 02462 Phone: 617-243-6731 Fax: 617-243-6981 | |
Clara Sanders, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 21 John St, #1, Newton, MA 02459 Phone: 978-516-8876 | |
Tetiana M Pronchick, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2000 Washington St, Suite 466, Newton, MA 02462 Phone: 617-969-8989 Fax: 617-928-0178 | |
Jane Marie Porter, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 34 Heatherland Rd, Newton, MA 02461 Phone: 617-244-6040 |