Dr Kenneth Gershengorn, MD | |
1101 Beacon St., Brookline, MA 02446-5587 | |
(617) 738-1961 | |
(617) 734-2348 |
Full Name | Dr Kenneth Gershengorn |
---|---|
Gender | Male |
Speciality | Internal Medicine - Cardiovascular Disease |
Location | 1101 Beacon St., Brookline, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194766634 | NPI | - | NPPES |
2027208 | Medicaid | MA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RC0000X | Internal Medicine - Cardiovascular Disease | 33105 (Massachusetts) | Primary |
Entity Name | Medical Care Of Boston Management Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437196359 PECOS PAC ID: 6800787714 Enrollment ID: O20040322000778 |
Mailing Address | Practice Location Address |
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Dr Kenneth Gershengorn, MD 1101 Beacon St., Brookline, MA 02446-5587 Ph: (617) 738-1961 | Dr Kenneth Gershengorn, MD 1101 Beacon St., Brookline, MA 02446-5587 Ph: (617) 738-1961 |
Elliot Israel, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 111 Cypress St, Brookline, MA 02445 Phone: 857-307-0896 | |
Sandra R Richman, M.D. Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 150 Saint Paul St Apt 301, Brookline, MA 02446 Phone: 617-277-5302 | |
David A Walton, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: Brigham And Women's Hospital, 111 Cypress Street, Brookline, MA 02445 Phone: 617-582-1192 | |
Dr. Doreen F Matteson, M.D. Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 48 Kent St, Suite 8, Brookline, MA 02445 Phone: 617-731-0641 | |
Charles Myron Blatt, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 21 Longwood Ave, Lown Cardiovascular Group, Brookline, MA 02446 Phone: 617-732-1318 | |
Amnon Wachman, MD Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 1101 Beacon St, Brookline, MA 02446 Phone: 617-232-3464 | |
Justin D. Pearlman, MD ME PHD MA Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 25 Goddard Cir, Brookline, MA 02445 Phone: 617-894-6888 |