Charmalie G Heller, MD | |
10 Gove St, East Boston, MA 02128-1920 | |
(617) 569-5800 | |
(617) 568-4780 |
Full Name | Charmalie G Heller |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 10 Gove St, East Boston, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164401899 | NPI | - | NPPES |
2016290 | Medicaid | MA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 217764 (Massachusetts) | Primary |
Entity Name | Internal Medical Associates-ebnhc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558481879 PECOS PAC ID: 6103814371 Enrollment ID: O20040505000853 |
Entity Name | East Boston Neighborhood Health Center Corp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316994411 PECOS PAC ID: 9032356050 Enrollment ID: O20130513000045 |
Mailing Address | Practice Location Address |
---|---|
Charmalie G Heller, MD 10 Gove St, East Boston, MA 02128-1920 Ph: (617) 569-5800 | Charmalie G Heller, MD 10 Gove St, East Boston, MA 02128-1920 Ph: (617) 569-5800 |
Dr. Carolyn Olson Walsh, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 10 Gove St, East Boston, MA 02128 Phone: 617-569-5800 Fax: 617-568-4780 | |
Ewa B Smoczkiewicz, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 10 Gove St, East Boston, MA 02128 Phone: 617-569-5800 Fax: 617-568-4780 | |
Beth E Wigden, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 10 Gove St, East Boston, MA 02128 Phone: 617-569-5800 Fax: 617-568-4780 | |
Tanya Geha, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 10 Gove St, East Boston, MA 02128 Phone: 617-569-5800 Fax: 617-568-4780 | |
Jeretta Leighann Riemer, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 10 Gove St, East Boston, MA 02128 Phone: 617-569-5800 Fax: 617-568-4780 | |
Allison A Brown, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 10 Gove St, East Boston, MA 02128 Phone: 617-569-5800 Fax: 617-568-4780 |