Dr Andrew Li Jen Kung, MD PHD | |
44 Binney St, Boston, MA 02115 | |
(617) 632-5731 | |
(617) 582-8096 |
Full Name | Dr Andrew Li Jen Kung |
---|---|
Gender | Male |
Speciality | Pediatrics - Pediatric Hematology-oncology |
Location | 44 Binney St, 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 |
---|---|---|---|
1720053580 | NPI | - | NPPES |
47199 | Other | FALLON COMMUNITY HEALTH P | |
150807 | Other | TUFTS | |
2929488 | Other | AETNA US HEALTHCARE | |
900002559 | Other | RR MEDICARE DFCI | |
3390960 | Other | CIGNA | |
J19982 | Other | MASSACHUSETTS BCBS | |
14375DF | Other | HPHC DFCI ONLY | |
3194191 | Medicaid | MA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080P0207X | Pediatrics - Pediatric Hematology-oncology | 150807 (Massachusetts) | Primary |
Entity Name | Memorial Pediatric Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750352381 PECOS PAC ID: 1557250958 Enrollment ID: O20040313000033 |
Mailing Address | Practice Location Address |
---|---|
Dr Andrew Li Jen Kung, MD PHD 44 Binney St, Mayer 649, Boston, MA 02115 Ph: (617) 632-5731 | Dr Andrew Li Jen Kung, MD PHD 44 Binney St, Boston, MA 02115 Ph: (617) 632-5731 |
Puja Banka, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 300 Longwood Ave, Bader 203, Boston, MA 02115 Phone: 617-355-6363 | |
Angela M. Jacques, MD Pediatrics Medicare: Medicare Enrolled Practice Location: Massachusetts General Hospital, 55 Fruit St., Boston, MA 02114 Phone: 617-726-2066 | |
Dr. Elizabeth S Taglauer, M.D., PH.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 300 Longwood Ave, Boston, MA 02115 Phone: 617-355-6000 | |
Cailyn Hereen Rood, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 300 Longwood Ave, Boston, MA 02115 Phone: 617-355-6000 | |
Dr. Alon Peltz, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 300 Longwood Ave, Boston, MA 02115 Phone: 617-355-6000 | |
Miki Nishitani, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 300 Longwood Ave, Boston, MA 02115 Phone: 617-355-6000 | |
Vickren Pillay, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 300 Longwood Ave, Boston, MA 02115 Phone: 617-355-6000 |