Dr Lisa Brazzamano Kenney, MD | |
44 Binney St, Dana Farber Cancer Institute, Boston, MA 02115 | |
(617) 632-2292 | |
Not Available |
Full Name | Dr Lisa Brazzamano Kenney |
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Gender | Female |
Speciality | Pediatrics - Pediatric Hematology-oncology |
Location | 44 Binney St, Boston, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1861447807 | NPI | - | NPPES |
97496 | Other | FALLON COMMUNITY HEALTH P | |
J16320 | Other | BCBS OF MA, INDEMNITY, BC | |
081991 | Other | TUFTS | |
3145425 | Other | MASS HEALTH (MA MEDICAID) | |
9358 | Other | HPHC (DFCI ONLY) | |
1888596 | Other | CIGNA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080P0207X | Pediatrics - Pediatric Hematology-oncology | 81991 (Massachusetts) | Primary |
Entity Name | Dana-farber Cancer Institute, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851333686 PECOS PAC ID: 9133038904 Enrollment ID: O20040223000228 |
Mailing Address | Practice Location Address |
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Dr Lisa Brazzamano Kenney, MD 77 Fox Run Rd, Sudbury, MA 01776 Ph: (918) 443-5729 | Dr Lisa Brazzamano Kenney, MD 44 Binney St, Dana Farber Cancer Institute, Boston, MA 02115 Ph: (617) 632-2292 |
Puja Banka, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 300 Longwood Ave, Bader 203, Boston, MA 02115 Phone: 617-355-6363 | |
Angela M. Jacques, MD Pediatrics Medicare: Medicare Enrolled Practice Location: Massachusetts General Hospital, 55 Fruit St., Boston, MA 02114 Phone: 617-726-2066 | |
Dr. Elizabeth S Taglauer, M.D., PH.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 300 Longwood Ave, Boston, MA 02115 Phone: 617-355-6000 | |
Cailyn Hereen Rood, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 300 Longwood Ave, Boston, MA 02115 Phone: 617-355-6000 | |
Dr. Alon Peltz, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 300 Longwood Ave, Boston, MA 02115 Phone: 617-355-6000 | |
Miki Nishitani, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 300 Longwood Ave, Boston, MA 02115 Phone: 617-355-6000 | |
Vickren Pillay, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 300 Longwood Ave, Boston, MA 02115 Phone: 617-355-6000 |