Gouri Datta, MD | |
41 Mall Rd, Lahey Clinic, Inc., Burlington, MA 01805-0001 | |
(781) 744-8610 | |
(781) 744-5235 |
Full Name | Gouri Datta |
---|---|
Gender | Female |
Speciality | Neuropsychiatry |
Experience | 53 Years |
Location | 41 Mall Rd, Burlington, Massachusetts |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528054889 | NPI | - | NPPES |
3037754 | Medicaid | MA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 38554 (Massachusetts) | Secondary |
2084P0800X | Psychiatry & Neurology - Psychiatry | 38554 (Massachusetts) | Primary |
Entity Name | Lahey Clinic Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538194980 PECOS PAC ID: 2264336528 Enrollment ID: O20031120000097 |
Entity Name | Lahey Clinic Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063447316 PECOS PAC ID: 2264336528 Enrollment ID: O20040629001269 |
Entity Name | Northeast Health Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225067481 PECOS PAC ID: 6901866706 Enrollment ID: O20041015000643 |
Entity Name | The Commonwealth Of Massachusetts |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871680496 PECOS PAC ID: 8820906860 Enrollment ID: O20060407000500 |
Entity Name | Steward Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629398219 PECOS PAC ID: 2860688728 Enrollment ID: O20101119000332 |
Entity Name | Ibis Health Services- Massachusetts, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790273563 PECOS PAC ID: 4486998994 Enrollment ID: O20181210001705 |
Entity Name | Datta Consultants Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316675275 PECOS PAC ID: 7214389345 Enrollment ID: O20240115000155 |
Mailing Address | Practice Location Address |
---|---|
Gouri Datta, MD 41 Mall Rd, Lahey Clinic, Inc., Burlington, MA 01805-0001 Ph: (781) 744-8610 | Gouri Datta, MD 41 Mall Rd, Lahey Clinic, Inc., Burlington, MA 01805-0001 Ph: (781) 744-8610 |
Dr. Mary Anne Muriello, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 41 Mall Rd, Lahey Clinic, Inc., Burlington, MA 01805 Phone: 781-744-5125 Fax: 781-744-5243 | |
Dr. Matthew E Tilem, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: Lahey Clinic, 41 Mall Road, Burlington, MA 01805 Phone: 781-744-8000 Fax: 781-744-5581 | |
Paul T Gross, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 41 Mall Rd, Burlington, MA 01805 Phone: 781-744-8000 Fax: 781-744-5243 | |
Azmin Kahriman, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 41 Mall Rd Ste 7w, Burlington, MA 01805 Phone: 781-744-8630 Fax: 617-638-8465 | |
Benita Handa, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 41 Mall Rd, Lahey Clinic, Burlington, MA 01805 Phone: 781-744-8006 | |
Julie Rebecca Leegwater-kim, MD PHD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 41 Mall Rd, Lahey Clinic - Dept Of Neurology, Burlington, MA 01805 Phone: 781-744-8000 | |
Jose A Gutrecht, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: Lahey Clinic, 41 Mall Rd, Burlington, MA 01805 Phone: 781-744-8631 |