| 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: May Accept Medicare Assignments 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: Medicare Enrolled 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 |