Dr Richard H Long, MD | |
850 Harrison Ave, Yacc 4, Boston, MA 02118-4001 | |
(617) 414-2080 | |
(617) 414-2090 |
Full Name | Dr Richard H Long |
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Gender | Male |
Speciality | Family Medicine |
Location | 850 Harrison Ave, 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 |
---|---|---|---|
1720062656 | NPI | - | NPPES |
110047111A | Medicaid | MA | |
7001685 | Medicaid | RI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | MD07395 (Rhode Island) | Secondary |
207Q00000X | Family Medicine | 71219 (Massachusetts) | Primary |
Entity Name | Thundermist Health Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700041001 PECOS PAC ID: 1557270477 Enrollment ID: O20040211000909 |
Entity Name | Hopehealth Hospice & Palliative Care |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790851590 PECOS PAC ID: 4587659255 Enrollment ID: O20040420001030 |
Mailing Address | Practice Location Address |
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Dr Richard H Long, MD 720 Harrison Ave, Dob 503, Boston, MA 02118 Ph: () - | Dr Richard H Long, MD 850 Harrison Ave, Yacc 4, Boston, MA 02118-4001 Ph: (617) 414-2080 |
Lidya H Wlasiuk, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 850 Harrison Ave, Yacc 5, Boston, MA 02118 Phone: 617-414-2080 Fax: 617-414-2090 | |
Nestor Alejandro Sainz Rueda, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 55 Fruit St, Boston, MA 02114 Phone: 800-711-4644 | |
Madhuri Preeti Rao, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 55 Fruit St, Boston, MA 02114 Phone: 617-889-8580 | |
Brian R Penti, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 850 Harrison Ave, Yacc 4, Boston, MA 02118 Phone: 617-414-2080 Fax: 617-414-2090 | |
Shahnaz Rahman, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 820 Harrison Ave, Boston, MA 02118 Phone: 404-259-4008 | |
Dr. Rohit Abraham, MD, MPH, MAT Family Medicine Medicare: Medicare Enrolled Practice Location: 75 Francis St, Boston, MA 02115 Phone: 617-732-5500 | |
Dr. Amy Min He, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 637 Washington St, Boston, MA 02124 Phone: 617-825-9660 |