Dr Daniel L Jackson, MD | |
49 Robinwood Ave, Boston, MA 02130-2156 | |
(617) 390-1204 | |
(617) 390-1584 |
Full Name | Dr Daniel L Jackson |
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Gender | Male |
Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
Location | 49 Robinwood Ave, 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 |
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1992874234 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | 37404 (Massachusetts) | Primary |
Entity Name | Hri Clinics, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598707002 PECOS PAC ID: 8022088483 Enrollment ID: O20040731000071 |
Entity Name | Colony Care Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720053408 PECOS PAC ID: 0042282055 Enrollment ID: O20040810001192 |
Mailing Address | Practice Location Address |
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Dr Daniel L Jackson, MD 115 Lowell Ave, Newtonville, MA 02460-1521 Ph: (617) 390-1204 | Dr Daniel L Jackson, MD 49 Robinwood Ave, Boston, MA 02130-2156 Ph: (617) 390-1204 |
Dr. Lee Edwin Goldstein, M.D., PH.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 670 Albany St, Boston, MA 02118 Phone: 617-414-8361 Fax: 617-414-7073 | |
Dr. Joseph Yeretsian, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 361 Newbury St Fl 5, Boston, MA 02115 Phone: 617-865-4910 Fax: 617-507-1426 | |
Dr. Michael Gulliver Erkkinen, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 75 Francis St, Boston, MA 02115 Phone: 617-732-5500 | |
Dr. Joseph Jeffrey Taylor, M.D., PH.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 60 Fenwood Rd, Boston, MA 02115 Phone: 617-732-5500 | |
Sanjay Menon, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 55 Fruit St., Massachusetts General Hospital, Boston, MA 02114 Phone: 857-238-5600 | |
Fatemeh Mohammadpour Touserkani, Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 300 Longwood Ave, Boston, MA 02115 Phone: 617-355-6000 | |
Lara Basovic, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 15 Parkman St Fl 8, Boston, MA 02114 Phone: 617-726-3311 Fax: 617-726-9250 |