Dr Bruce B Borgelt, MD | |
75 Francis St, Boston, MA 02115-6110 | |
(617) 732-5500 | |
Not Available |
Full Name | Dr Bruce B Borgelt |
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Gender | Male |
Speciality | Radiology - Radiation Oncology |
Location | 75 Francis 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 |
---|---|---|---|
1770557498 | NPI | - | NPPES |
3171329 | Medicaid | MA | |
J18205 | Other | MA | BCBS MA |
151945 | Other | MA | TUFTS HEALTH PLAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0001X | Radiology - Radiation Oncology | 151945 (Massachusetts) | Primary |
2085R0203X | Radiology - Therapeutic Radiology | 151945 (Massachusetts) | Secondary |
Entity Name | Brigham & Womens Physicians Organization Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427076967 PECOS PAC ID: 3870405988 Enrollment ID: O20040322001122 |
Entity Name | Radiation Therapy Of Southeastern Mass, Llc |
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Entity Type | Part B Supplier - Radiation Therapy Center |
Entity Identifiers | NPI Number: 1104978519 PECOS PAC ID: 9335248343 Enrollment ID: O20070615000252 |
Entity Name | Brigham & Womens Physicians Organization Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033535497 PECOS PAC ID: 3870405988 Enrollment ID: O20150107001260 |
Mailing Address | Practice Location Address |
---|---|
Dr Bruce B Borgelt, MD 111 Cypress St, Brookline, MA 02445-6002 Ph: (857) 307-0896 | Dr Bruce B Borgelt, MD 75 Francis St, Boston, MA 02115-6110 Ph: (617) 732-5500 |
Jennifer Michelle Thomas, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 75 Francis St, Department Of Radiology, Boston, MA 02115 Phone: 617-732-6248 | |
Dr. Meghavi Mashar, MB BCHIR Radiology Medicare: Not Enrolled in Medicare Practice Location: 330 Brookline Ave, Boston, MA 02215 Phone: 617-667-7000 | |
Rafeeque A Bhadelia, M.D Radiology Medicare: Accepting Medicare Assignments Practice Location: 330 Brookline Ave, Bidmc Wcc90, Boston, MA 02215 Phone: 617-754-2058 Fax: 617-754-2004 | |
Dr. Srinivasan Mukundan Jr., M.D. Radiology Medicare: Medicare Enrolled Practice Location: 75 Francis St, Brigham And Women's Hospital, Boston, MA 02115 Phone: 617-732-7260 | |
Raymond W Liu, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 55 Fruit St, Grb 293, Boston, MA 02114 Phone: 917-923-2079 | |
Dr. Hillary R. Kelly, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: Massachusetts General Hospital, 55 Fruit Street, Grb-273a, Boston, MA 02114 Phone: 617-726-8320 Fax: 617-724-3338 | |
Dr. Tina Young Poussaint, MD Radiology Medicare: May Accept Medicare Assignments Practice Location: 300 Longwood Ave, Boston, MA 02115 Phone: 617-355-6450 |