Dr Ellen Joy Dutta, MD | |
Lahey Hospital And Medical Center, 41 Mall Road, Burlington, MA 01805 | |
(781) 744-8000 | |
Not Available |
Full Name | Dr Ellen Joy Dutta |
---|---|
Gender | Female |
Speciality | Allergy/immunology |
Experience | 27 Years |
Location | Lahey Hospital And Medical Center, Burlington, 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 |
---|---|---|---|
1588693139 | NPI | - | NPPES |
1829996 1 | Other | CIGNA PAL | |
0090HU | Other | TX | BLUE CROSS BLUE SHIELD |
00927F | Other | TX | MEDICARE ID |
4218788 | Other | TX | BLUE LINK |
7543296 | Other | TX | AETNA |
1829996 1 | Other | TX | CIGNA PAL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207K00000X | Allergy & Immunology | 234028 (Massachusetts) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Lahey Hospital & Medical Center, Burlington | Burlington, MA | Hospital |
Beth Israel Deaconess Medical Center | Boston, MA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Lahey Clinic Inc | 2264336528 | 1200 |
Entity Name | Lahey Clinic Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538194980 PECOS PAC ID: 2264336528 Enrollment ID: O20031120000097 |
Entity Name | Lahey Clinic Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063447316 PECOS PAC ID: 2264336528 Enrollment ID: O20040629001269 |
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 Ellen Joy Dutta, MD Lahey Provider Enrollment, 41 Mall Road, Burlington, MA 01805-0001 Ph: (781) 744-8085 | Dr Ellen Joy Dutta, MD Lahey Hospital And Medical Center, 41 Mall Road, Burlington, MA 01805 Ph: (781) 744-8000 |
John A Saryan, MD Allergy & Immunology Medicare: Medicare Enrolled Practice Location: 41 Mall Rd, Burlington, MA 01805 Phone: 781-744-8000 Fax: 781-744-3442 | |
Joseph E Kelleher Jr, MD Allergy & Immunology Medicare: Medicare Enrolled Practice Location: 41 Mall Rd, Burlington, MA 01805 Phone: 781-744-8441 Fax: 781-744-3442 | |
Monica G Ghoshhajra, M.D. Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: Lahey Hospital And Medical Center, 41 Mall Road, Burlington, MA 01805 Phone: 781-744-8442 Fax: 781-744-3442 | |
Steven M. Matloff, MD Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: Lahey Hospital And Medical Center, 41 Mall Road, Burlington, MA 01805 Phone: 781-744-8442 Fax: 781-744-3442 |