Dr Daniel L Bourque, MD | |
725 Albany St, Ste 9b & C, Shapiro Bldg, Boston, MA 02118-2526 | |
(617) 414-4290 | |
(617) 414-4285 |
Full Name | Dr Daniel L Bourque |
---|---|
Gender | Male |
Speciality | Infectious Disease |
Experience | 17 Years |
Location | 725 Albany St, Ste 9b & C, Boston, Massachusetts |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1427254846 | NPI | - | NPPES |
1100907782A | Medicaid | MA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RI0200X | Internal Medicine - Infectious Disease | 243941 (Massachusetts) | Primary |
207R00000X | Internal Medicine | 243941 (Massachusetts) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Boston Medical Center | Boston, MA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Evans Medical Foundation Inc | 7416946546 | 445 |
Entity Name | Evans Medical Foundation Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912954124 PECOS PAC ID: 7416946546 Enrollment ID: O20040512000397 |
Entity Name | Mt Auburn Professional Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992750996 PECOS PAC ID: 6103725031 Enrollment ID: O20040527001374 |
Mailing Address | Practice Location Address |
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Dr Daniel L Bourque, MD 960 Massachusetts Avenue, Fl 2, Boston, MA 02118-2690 Ph: () - | Dr Daniel L Bourque, MD 725 Albany St, Ste 9b & C, Shapiro Bldg, Boston, MA 02118-2526 Ph: (617) 414-4290 |
Kaitlyn My-tu Lam, MBBS Infectious Disease Medicare: Not Enrolled in Medicare Practice Location: Massachusetts General Hospital, 55 Fruit Street, Boston, MA 02114 Phone: 617-724-7738 | |
Kui Toh Gerard Leong, M.D. Infectious Disease Medicare: Not Enrolled in Medicare Practice Location: 55 Fruit Street, Massachusetts General Hospital, Boston, MA 02114 Phone: 617-726-8862 | |
Ruma Rajbhandari, Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 75 Francis St, Boston, MA 02115 Phone: 617-525-6841 | |
Alaka Ray, M.D. Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: Massachusetts General Hospital, 55 Fruit Street, Boston, MA 02114 Phone: 617-726-2066 | |
Meghan E Sise, M.D. Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: Massachusetts General Hospital, 55 Fruit Street, Boston, MA 02114 Phone: 617-726-2862 | |
Aaron Dickstein, M.D. Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 800 Washington St, Box 233, Boston, MA 02111 Phone: 617-636-5883 Fax: 617-636-9292 | |
Dr. Felicia Elizabeth Patch, MD Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 801 Massachusetts Ave, Crosstown 2, Boston, MA 02118 Phone: 617-414-4376 Fax: 617-414-4676 |