Dr Bonnie Teresa Mackool, MD | |
50 Staniford St, Suite 200, Boston, MA 02114-2517 | |
(617) 726-2914 | |
(617) 724-2135 |
Full Name | Dr Bonnie Teresa Mackool |
---|---|
Gender | Female |
Speciality | Dermatology |
Experience | 35 Years |
Location | 50 Staniford St, Boston, Massachusetts |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114999000 | NPI | - | NPPES |
3107621 | Medicaid | MA | |
J13548 | Other | MA | BCBS MA |
729619 | Other | MA | TUFTS HEALTH PLAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | 76647 (Massachusetts) | Primary |
207N00000X | Dermatology | G81270 (California) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Massachusetts General Hospital | Boston, MA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Massachusetts General Physicians Organization Inc | 2466365820 | 3084 |
Entity Name | Massachusetts General Physicians Organization Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801874573 PECOS PAC ID: 2466365820 Enrollment ID: O20031111000434 |
Entity Name | The General Hospital Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023049236 PECOS PAC ID: 6507803806 Enrollment ID: O20080313000351 |
Mailing Address | Practice Location Address |
---|---|
Dr Bonnie Teresa Mackool, MD Po Box 9142, Charlestown, MA 02129-9142 Ph: (617) 724-0287 | Dr Bonnie Teresa Mackool, MD 50 Staniford St, Suite 200, Boston, MA 02114-2517 Ph: (617) 726-2914 |
Erica Dommasch, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 330 Brookline Ave, Shapiro 2, Boston, MA 02215 Phone: 617-667-3753 | |
Dr. Chantal Louise Cotter, MB BCH BAO Dermatology Medicare: Not Enrolled in Medicare Practice Location: 300 Longwood Ave, Boston, MA 02115 Phone: 617-355-6117 | |
Dr. John J Croke, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 725 Albany St, Shapiro 8, Boston, MA 02118 Phone: 617-638-7420 Fax: 617-638-7289 | |
Dr. Debjani Sahni, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 725 Albany Street, Shapiro 8, Boston, MA 02118 Phone: 617-638-7420 Fax: 617-638-7289 | |
Dr. Joseph C Kvedar, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 50 Staniford St, Suite 200, Boston, MA 02114 Phone: 617-726-2914 Fax: 617-724-2135 | |
Dr. David Attar Hashemi, MD, MBA Dermatology Medicare: Medicare Enrolled Practice Location: 50 Staniford St, Boston, MA 02114 Phone: 617-726-2914 | |
Dr. Emily Stamell Ruiz, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 450 Brookline Ave, Boston, MA 02215 Phone: 617-732-5500 |