Dr Jeremy T Aidlen, MD | |
55 Lake Ave N, Division Of Pediatric Surgery, Worcester, MA 01655-0002 | |
(508) 856-2128 | |
(774) 443-2043 |
Full Name | Dr Jeremy T Aidlen |
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Gender | Male |
Speciality | Surgery - Pediatric Surgery |
Location | 55 Lake Ave N, Worcester, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1750558508 | NPI | - | NPPES |
110080669A | Medicaid | MA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2086S0120X | Surgery - Pediatric Surgery | MD12711 (Rhode Island) | Secondary |
2086S0120X | Surgery - Pediatric Surgery | 212781 (Massachusetts) | Primary |
Entity Name | Umass Memorial Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760445373 PECOS PAC ID: 4284539891 Enrollment ID: O20040113000267 |
Mailing Address | Practice Location Address |
---|---|
Dr Jeremy T Aidlen, MD Po Box 415348, Boston, MA 02241-5348 Ph: (800) 225-8885 | Dr Jeremy T Aidlen, MD 55 Lake Ave N, Division Of Pediatric Surgery, Worcester, MA 01655-0002 Ph: (508) 856-2128 |
Elizabeth A Mahanor, MD Surgery Medicare: May Accept Medicare Assignments Practice Location: 123 Summer St, Worcester, MA 01608 Phone: 508-368-3190 Fax: 508-368-3193 | |
Dr. Craig A Paterson, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 119 Belmont St, Department Of General Surgery, Worcester, MA 01605 Phone: 508-334-8195 | |
Dr. John M Castle, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 281 Lincoln St, Department Of Surgery, Worcester, MA 01605 Phone: 508-334-5958 Fax: 508-334-5752 | |
Frank Traupman, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 281 Lincoln St, Medical Staff Svcs, Worcester, MA 01605 Phone: 508-334-8015 | |
Philip A Cohen, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 55 Lake Ave N, Department Of Surgery, Worcester, MA 01655 Phone: 508-856-7559 Fax: 508-856-4224 | |
Mary Elise Huerter, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 55 Lake Ave N, Worcester, MA 01655 Phone: 508-334-3278 Fax: 508-334-7284 | |
Jennifer Fantasia, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 33 Kendall St, Worcester, MA 01605 Phone: 083-348-7655 Fax: 508-334-9477 |