Charles Daniel Leo Earley, MD | |
801 Massachusetts Ave, Crosstown 2, Boston, MA 02118-5189 | |
(617) 414-7399 | |
(617) 414-4676 |
Full Name | Charles Daniel Leo Earley |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 5 Years |
Location | 801 Massachusetts Ave, Boston, Massachusetts |
Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1376104059 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | MT217604 (Pennsylvania) | Secondary |
207R00000X | Internal Medicine | 1017742 (Massachusetts) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Temple University Hospital | Philadelphia, PA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Temple Faculty Practice Plan Inc | 0345588711 | 1060 |
Entity Name | Temple Faculty Practice Plan Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881176949 PECOS PAC ID: 0345588711 Enrollment ID: O20190208002623 |
Mailing Address | Practice Location Address |
---|---|
Charles Daniel Leo Earley, MD 960 Massachusetts Ave, Flr 2, Boston, MA 02118-2690 Ph: (617) 414-7399 | Charles Daniel Leo Earley, MD 801 Massachusetts Ave, Crosstown 2, Boston, MA 02118-5189 Ph: (617) 414-7399 |
Kaitlyn My-tu Lam, MBBS Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: Massachusetts General Hospital, 55 Fruit Street, Boston, MA 02114 Phone: 617-724-7738 | |
Kui Toh Gerard Leong, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 55 Fruit Street, Massachusetts General Hospital, Boston, MA 02114 Phone: 617-726-8862 | |
Ruma Rajbhandari, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 75 Francis St, Boston, MA 02115 Phone: 617-525-6841 | |
Alaka Ray, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: Massachusetts General Hospital, 55 Fruit Street, Boston, MA 02114 Phone: 617-726-2066 | |
Meghan E Sise, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: Massachusetts General Hospital, 55 Fruit Street, Boston, MA 02114 Phone: 617-726-2862 | |
Aaron Dickstein, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 800 Washington St, Box 233, Boston, MA 02111 Phone: 617-636-5883 Fax: 617-636-9292 | |
Dr. Felicia Elizabeth Patch, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 801 Massachusetts Ave, Crosstown 2, Boston, MA 02118 Phone: 617-414-4376 Fax: 617-414-4676 |