Dr Mairead Rynn Wilson, MD | |
55 Fogg Rd, S Weymouth, MA 02190-2432 | |
(781) 624-8000 | |
Not Available |
Full Name | Dr Mairead Rynn Wilson |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 55 Fogg Rd, S Weymouth, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1417116054 | NPI | - | NPPES |
04-2297845 | Other | TRICARE | |
AA436677 | Other | MA | HARVARD PILGRIM |
3975418 | Other | CIGNA | |
1417116054 | Other | MA | NEIGHBORHOOD HEALTH PLAN |
04-2297845 | Other | UNITED HEALTH CARE | |
04-2297845 | Other | MULTI-PLAN | |
9984652 | Other | AETNA | |
J48728 | Other | MA | BCBSMA |
1417116054 | Other | FALLON COMMUNITY HEALTH PLAN | |
04-2297845 | Other | HCVM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 246120 (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 |
---|---|
Dr Mairead Rynn Wilson, MD 300 Longwood Ave, Boston, MA 02115-5724 Ph: (617) 355-6000 | Dr Mairead Rynn Wilson, MD 55 Fogg Rd, S Weymouth, MA 02190-2432 Ph: (781) 624-8000 |
Dr. Gabriel Paris, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 55 Fogg Rd, S Weymouth, MA 02190 Phone: 781-624-8000 | |
Kelly Theresa Quinn, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 55 Fogg Rd, S Weymouth, MA 02190 Phone: 781-624-8000 |