Dr Karen D Gruskin, MD | |
85 Herrick St, Beverly, MA 01915-1790 | |
(978) 921-7013 | |
Not Available |
Full Name | Dr Karen D Gruskin |
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Gender | Female |
Speciality | Pediatrics - Pediatric Emergency Medicine |
Location | 85 Herrick St, Beverly, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1679530869 | NPI | - | NPPES |
3105990 | Medicaid | MA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 75998 (Massachusetts) | Secondary |
2080P0204X | Pediatrics - Pediatric Emergency Medicine | 75998 (Massachusetts) | Primary |
Entity Name | Children's Hospital Pediatric Associates, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457306664 PECOS PAC ID: 3476541830 Enrollment ID: O20040504000964 |
Mailing Address | Practice Location Address |
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Dr Karen D Gruskin, MD 300 Longwood Ave, Boston, MA 02115-5724 Ph: (617) 355-6000 | Dr Karen D Gruskin, MD 85 Herrick St, Beverly, MA 01915-1790 Ph: (978) 921-7013 |
Ian Fredric Sklaver, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 83 Herrick St, Garden City Pediatrics, Beverly, MA 01915 Phone: 978-927-4980 | |
Jennifer L Leathe, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 900 Cummings Center, Suite 113t, Beverly, MA 01915 Phone: 978-777-3877 Fax: 978-774-7510 | |
Dr. Christine Cierra Tentindo, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 75 Herrick St, #119 Beverly Pediatrics, Beverly, MA 01915 Phone: 978-922-3208 Fax: 978-927-7429 | |
Dr. Kara Eileen Montbleau, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 85 Herrick St, Beverly, MA 01915 Phone: 978-922-3000 | |
Jennifer Wanda Lee, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 85 Herrick St, Beverly Hospital Scn, Beverly, MA 01915 Phone: 978-922-3000 | |
Dr. Jacob Seymour Kriteman, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 83 Herrick St, Suite 1003, Beverly, MA 01915 Phone: 978-927-4980 Fax: 978-922-9115 | |
Dr. Tai H Tran, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 85 Herrick St, Beverly, MA 01915 Phone: 508-922-3000 |