Dr Kenneth C Potts, MD | |
1153 Centre St, Jamaica Plain, MA 02130-3446 | |
(617) 983-7926 | |
(617) 983-7455 |
Full Name | Dr Kenneth C Potts |
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Gender | Male |
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 1153 Centre St, Jamaica Plain, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043384514 | NPI | - | NPPES |
700342 | Other | MA | TUFTS HEALTH PLAN ID |
JO5685 | Other | MA | BCBS OF MA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 54708 (Massachusetts) | Primary |
Entity Name | President & Fellows Of Harvard College |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952366312 PECOS PAC ID: 2062303894 Enrollment ID: O20040322001750 |
Mailing Address | Practice Location Address |
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Dr Kenneth C Potts, MD 7 Cabot Rd, Wayland, MA 01778-3707 Ph: () - | Dr Kenneth C Potts, MD 1153 Centre St, Jamaica Plain, MA 02130-3446 Ph: (617) 983-7926 |
David Macmillan, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 170 Morton St, Jamaica Plain, MA 02130 Phone: 617-522-8110 Fax: 617-971-3852 | |
Dr. Bennett Simon, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 44b Burroughs St, Jamaica Plain, MA 02130 Phone: 617-983-8733 Fax: 617-983-1877 | |
Barbara Maxwell, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: Lemuel Shattuock Hospital, 170 Morton Street, Jamaica Plain, MA 02130 Phone: 617-522-8110 | |
Dr. Mark Stephen Bauer, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 150 S Huntington Ave, Va Boston Healthcare System - 152m, Jamaica Plain, MA 02130 Phone: 857-364-6380 Fax: 857-364-6140 | |
Carlee A Blamphin, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1153 Centre Street, Faulkner Hospital/psychiatry, Jamaica Plain, MA 02130 Phone: 617-489-1117 | |
Martha Cesena, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 3 Dunning Way, No. 97, Jamaica Plain, MA 02130 Phone: 617-522-0059 |