Dr Madhusmita Misra, MD, MBBS | |
55 Fruit St, Yaw 6 Pediatric Endocrine Associates, Boston, MA 02114-2621 | |
(617) 726-2909 | |
(617) 726-5072 |
Full Name | Dr Madhusmita Misra |
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Gender | Female |
Speciality | Pediatrics - Pediatric Endocrinology |
Location | 55 Fruit 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 |
---|---|---|---|
1043291107 | NPI | - | NPPES |
0193089 | Medicaid | MA | |
1879701 001 | Other | CIGNA PAL | |
204420 | Other | HPHC PBO | |
7285372 | Other | AETNA | |
159754 | Other | MA | TUFTS HEALTH PLAN |
J24751 | Other | MA | BCBS MA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 159754 (Massachusetts) | Secondary |
2080P0205X | Pediatrics - Pediatric Endocrinology | 159754 (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 Madhusmita Misra, MD, MBBS Po Box 9142, Mass General Physician Organization, Charlestown, MA 02129-9142 Ph: (617) 726-2909 | Dr Madhusmita Misra, MD, MBBS 55 Fruit St, Yaw 6 Pediatric Endocrine Associates, Boston, MA 02114-2621 Ph: (617) 726-2909 |
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 |