Courtney L Scanlon, MD, MBA | |
301 S Huntington Ave, Jamaica Plain, MA 02130-4807 | |
(857) 307-3300 | |
Not Available |
Full Name | Courtney L Scanlon |
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Gender | Female |
Speciality | Family Medicine |
Location | 301 S Huntington Ave, Jamaica Plain, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1932635562 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 283045 (Massachusetts) | Primary |
207Q00000X | Family Medicine | MD18765 (Rhode Island) | Secondary |
Entity Name | Selfrx Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164010765 PECOS PAC ID: 3173938651 Enrollment ID: O20210215001237 |
Mailing Address | Practice Location Address |
---|---|
Courtney L Scanlon, MD, MBA 77 Pond Ave Apt 1107, Brookline, MA 02445-7115 Ph: (401) 578-2941 | Courtney L Scanlon, MD, MBA 301 S Huntington Ave, Jamaica Plain, MA 02130-4807 Ph: (857) 307-3300 |
Dr. Daniel F Melville, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 545 A Centre St, Beth Israel Deaconess Health Care - Jamaica Plain, Jamaica Plain, MA 02130 Phone: 617-522-5464 Fax: 617-524-2966 | |
Jose E Ruano, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 373 S Huntington Ave, Ste #2, Jamaica Plain, MA 02130 Phone: 617-522-3330 | |
Vijay R Hegde, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 40 Wyman St, Unit #1, Jamaica Plain, MA 02130 Phone: 410-477-9309 | |
Dr. Laura Reis, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 545a Centre St, Jamaica Plain, MA 02130 Phone: 617-754-0950 | |
Dr. Barsam Kasravi, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 75 Bickford St, Jamaica Plain, MA 02130 Phone: 617-971-2100 |