Dr John Patrick T Co, MD | |
300 Ocean Avenue Rch, Revere Healthcare Center, Revere, MA 02151-3675 | |
(781) 485-6024 | |
(781) 485-6391 |
Full Name | Dr John Patrick T Co |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 300 Ocean Avenue Rch, Revere, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083605984 | NPI | - | NPPES |
3201325 | Medicaid | MA | |
J21625 | Other | MA | BCBS MA |
160256 | Other | MA | TUFTS HEALTH PLAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 160256 (Massachusetts) | Primary |
Entity Name | Massachusetts General Physicians Organization Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801874573 PECOS PAC ID: 2466365820 Enrollment ID: O20031111000434 |
Entity Name | The General Hospital Corporation |
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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 |
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Dr John Patrick T Co, MD Po Box 9142, Mass General Physician Organization, Charlestown, MA 02129-9142 Ph: (617) 724-0287 | Dr John Patrick T Co, MD 300 Ocean Avenue Rch, Revere Healthcare Center, Revere, MA 02151-3675 Ph: (781) 485-6024 |
Joan Granitsas, CRNP Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 280 Beach St, Revere, MA 02151 Phone: 781-289-5057 Fax: 781-289-4485 | |
Suzanne Victoria Boxer, MD Pediatrics Medicare: Medicare Enrolled Practice Location: Mgh Revere Healthcare Center, 300 Ocean Ave., Revere, MA 02151 Phone: 781-485-6024 | |
Katherine H Schiavoni, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: Mgh Revere Healthcare Center, 300 Ocean Ave., Revere, MA 02151 Phone: 781-485-6000 | |
Dr. Harwood Egan, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 300 Ocean Ave, Rhc Revere Healthcare Center, Revere, MA 02151 Phone: 617-485-6350 Fax: 617-485-6391 | |
Dr. Hannah K Galvin, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 454 Broadway, Revere, MA 02151 Phone: 781-485-8250 | |
Leonard I Firer, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 280 Beach St, Revere, MA 02151 Phone: 781-289-5057 |