Elizabeth Prusak, MD | |
41 Mall Rd, Burlington, MA 01805-0001 | |
(781) 744-5100 | |
Not Available |
Full Name | Elizabeth Prusak |
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Gender | Female |
Speciality | Obstetrics & Gynecology |
Location | 41 Mall Rd, Burlington, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255514386 | NPI | - | NPPES |
110086089A | Medicaid | MA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | 01083083A (Indiana) | Primary |
207VG0400X | Obstetrics & Gynecology - Gynecology | 242943 (Massachusetts) | Secondary |
Entity Name | Lahey Clinic Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063447316 PECOS PAC ID: 2264336528 Enrollment ID: O20040629001269 |
Mailing Address | Practice Location Address |
---|---|
Elizabeth Prusak, MD 3403 E Raymond St, Indianapolis, IN 46203-4744 Ph: (317) 957-2000 | Elizabeth Prusak, MD 41 Mall Rd, Burlington, MA 01805-0001 Ph: (781) 744-5100 |
Temitope Patricia Awosogba, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 41 Mall Road, Burlington, MA 01805 Phone: 781-744-8560 Fax: 781-744-5398 | |
Marc F Freedman, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 101 Cambridge St, Burlington, MA 01803 Phone: 781-272-4667 | |
Dr. Anju T Nayar, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 101 Cambridge St, Burlington, MA 01803 Phone: 781-272-4667 Fax: 781-270-4196 | |
Sarah Bennett, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 101 Cambridge St Ste 160, Burlington, MA 01803 Phone: 781-672-4667 | |
Nidha P. Mattappally, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: Lahey Hospital And Medical Center, 41 Mall Road, Burlington, MA 01805 Phone: 781-744-8560 Fax: 781-744-5398 | |
Shilpa Malhotra, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 20 Wall St, Burlington, MA 01803 Phone: 781-221-2940 | |
Valena J Wright, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: Lahey Clinic, 41 Mall Rd., Burlington, MA 01805 Phone: 781-744-8000 Fax: 781-744-5349 |