Dr Donna Khodarahmi Wren, MD | |
81 Highland Ave, North Shore Medical Center, Salem, MA 01970-2714 | |
(978) 354-2815 | |
(978) 740-4702 |
Full Name | Dr Donna Khodarahmi Wren |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 81 Highland Ave, Salem, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1376533539 | NPI | - | NPPES |
3175812 | Medicaid | MA | |
J18640 | Other | MA | BCBS MA |
153785 | Other | MA | TUFTS HEALTH PLAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 153785 (Massachusetts) | Primary |
Entity Name | Mt Auburn Professional Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992750996 PECOS PAC ID: 6103725031 Enrollment ID: O20040527001374 |
Entity Name | Emerson Practice Associates, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508020199 PECOS PAC ID: 8123188117 Enrollment ID: O20081120000518 |
Mailing Address | Practice Location Address |
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Dr Donna Khodarahmi Wren, MD Po Box 9142, Mass General Physician Organization, Charlestown, MA 02129-9142 Ph: (617) 724-0287 | Dr Donna Khodarahmi Wren, MD 81 Highland Ave, North Shore Medical Center, Salem, MA 01970-2714 Ph: (978) 354-2815 |
Linda J Morgan, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 57 Highlands Ave, Er, Salem, MA 01970 Phone: 978-354-2815 Fax: 978-744-9247 | |
Jean L Sheeley, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 72 Highland Ave, Salem, MA 01970 Phone: 978-745-3050 Fax: 978-744-9594 | |
Dr. Donald T Mcauliffe, MD Pediatrics Medicare: May Accept Medicare Assignments Practice Location: 72 Highland Avenue, Pediatric Associates Of Greater Salem, Salem, MA 01970 Phone: 978-445-3050 Fax: 978-744-9594 | |
Dr. Cheryl M D Souza, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 72 Highland Ave, Pediatric Associates Of Greater Salem, Salem, MA 01970 Phone: 978-745-3050 Fax: 978-744-9594 | |
Dr. Jocelyn Sicat, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 72 Highland Ave, Salem, MA 01970 Phone: 978-745-3050 | |
Andrea P Tish, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 57 Highland Ave, Er, Salem, MA 01970 Phone: 978-354-2815 Fax: 978-744-9247 |