Ezra M Cohen, MD | |
850 Harrison Avenue, Yacc 6, Pediatric Primary Care & Adolescent Clinic, Boston, MA 02118 | |
(617) 414-5946 | |
Not Available |
Full Name | Ezra M Cohen |
---|---|
Gender | Male |
Speciality | Pediatric Medicine |
Experience | 13 Years |
Location | 850 Harrison Avenue, Yacc 6, Boston, Massachusetts |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144515818 | NPI | - | NPPES |
110100633A | Medicaid | MA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080P0216X | Pediatrics - Pediatric Rheumatology | 258382 (Massachusetts) | Secondary |
208000000X | Pediatrics | 258382 (Massachusetts) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Child Health Foundation Of Boston Inc | 1557263340 | 22 |
Entity Name | Child Health Foundation Of Boston Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619969920 PECOS PAC ID: 1557263340 Enrollment ID: O20040122000712 |
Entity Name | Children's Hospital Pediatric Associates, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457306664 PECOS PAC ID: 3476541830 Enrollment ID: O20040504000964 |
Entity Name | Evans Medical Foundation Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912954124 PECOS PAC ID: 7416946546 Enrollment ID: O20040512000397 |
Mailing Address | Practice Location Address |
---|---|
Ezra M Cohen, MD 720 Harrison Ave, Dob 503, Boston, MA 02118-2371 Ph: () - | Ezra M Cohen, MD 850 Harrison Avenue, Yacc 6, Pediatric Primary Care & Adolescent Clinic, Boston, MA 02118 Ph: (617) 414-5946 |
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 |