Dr Ileana Lopez Plaza, MD | |
750 Washington St #826, Boston, MA 02111 | |
(617) 636-5842 | |
(617) 636-3175 |
Full Name | Dr Ileana Lopez Plaza |
---|---|
Gender | Female |
Speciality | Pathology |
Experience | 39 Years |
Location | 750 Washington St #826, Boston, 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 |
---|---|---|---|
1396727715 | NPI | - | NPPES |
2075431 | Medicaid | MA | |
A37261 | Other | MA | MEDICARE LO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ZP0105X | Pathology - Clinical Pathology/laboratory Medicine | 221290 (Massachusetts) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Henry Ford Hospital | Detroit, MI | Hospital |
Henry Ford Wyandotte Hospital | Wyandotte, MI | Hospital |
Henry Ford Macomb Hospital | Clinton township, MI | Hospital |
Henry Ford West Bloomfield Hospital | West bloomfield, MI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Henry Ford Medical Group | 0547178311 | 2124 |
Henry Ford Pathology | 6406953439 | 16 |
Entity Name | Henry Ford Health System |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134144801 PECOS PAC ID: 0547178311 Enrollment ID: O20031105000139 |
Entity Name | W.a. Foote Memorial Hospital, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760437826 PECOS PAC ID: 0244136067 Enrollment ID: O20031212000691 |
Entity Name | Henry Ford Pathology |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851410005 PECOS PAC ID: 6406953439 Enrollment ID: O20070525000207 |
Mailing Address | Practice Location Address |
---|---|
Dr Ileana Lopez Plaza, MD 750 Washington St #826, Boston, MA 02111 Ph: (617) 636-5842 | Dr Ileana Lopez Plaza, MD 750 Washington St #826, Boston, MA 02111 Ph: (617) 636-5842 |
Arthur J Sytkowski, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: Beth Israel Deaconess, One Deaconess Road, Boston, MA 02215 Phone: 617-632-9980 | |
Stuti Girish Shroff, MD, MBBS Pathology Medicare: Accepting Medicare Assignments Practice Location: 55 Fruit St, Boston, MA 02114 Phone: 617-726-2971 Fax: 617-726-7533 | |
Dr. David Kolin, M.D., PH.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 75 Francis St., Department Of Pathology, Boston, MA 02115 Phone: 617-732-6913 Fax: 617-277-9015 | |
Dr. Dimitra Pouli, MD, PHD Pathology Medicare: Medicare Enrolled Practice Location: 300 Longwood Ave, Boston, MA 02115 Phone: 617-355-6000 | |
Dr. Nancy Lee Harris, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 55 Fruit Street, Wrn 2 Pathology Associates, Boston, MA 02114 Phone: 617-726-5155 Fax: 617-726-9353 | |
Dr. Michael Gerald Drage, MD, PHD Pathology Medicare: Medicare Enrolled Practice Location: 55 Fruit St Bldg 225, Boston, MA 02114 Phone: 617-643-0800 Fax: 617-726-7474 | |
Dr. Ruth K Foreman, MD, PHD Pathology Medicare: Accepting Medicare Assignments Practice Location: 75 Francis St, Department Of Pathology, Brigham And Women's Hospital, Boston, MA 02115 Phone: 617-732-8613 |