Iason S Mantagos, MD | |
300 Longwood Ave, Fegan 4, Boston, MA 02115 | |
(617) 355-6401 | |
(617) 730-0392 |
Full Name | Iason S Mantagos |
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Gender | Male |
Speciality | Ophthalmology |
Location | 300 Longwood 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 |
---|---|---|---|
1720255482 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207WX0110X | Ophthalmology - Pediatric Ophthalmology And Strabismus Specialist | 234820 (Massachusetts) | Secondary |
207W00000X | Ophthalmology | 234820 (Massachusetts) | Primary |
Entity Name | Childrens Hospital Ophthalmology Foundation Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770679045 PECOS PAC ID: 8729049150 Enrollment ID: O20041020000189 |
Entity Name | Coastal Medical Associates |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932175684 PECOS PAC ID: 7113029257 Enrollment ID: O20070221000057 |
Entity Name | Brigham & Womens Physicians Organization Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033535497 PECOS PAC ID: 3870405988 Enrollment ID: O20150107001260 |
Mailing Address | Practice Location Address |
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Iason S Mantagos, MD 300 Longwood Ave, Fegan 4, Boston, MA 02115 Ph: (617) 355-6401 | Iason S Mantagos, MD 300 Longwood Ave, Fegan 4, Boston, MA 02115 Ph: (617) 355-6401 |
Dr. Maan Sulaiman A Alkharashi, M.D. Ophthalmology Medicare: Medicare Enrolled Practice Location: 300 Longwood Ave, Fegan 4, Boston, MA 02115 Phone: 857-523-6040 | |
Daniel J Townsend, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 175 Cambridge St, C/o Prooptical, Boston, MA 02114 Phone: 617-723-3937 Fax: 617-523-5006 | |
Daniel Robert Lefebvre, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 243 Charles St, 10th Floor -- Ophthalmic Plastic Surgery, Boston, MA 02114 Phone: 617-523-7900 | |
Dr. Seanna Rae Grob, MD, MAS Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 243 Charles St, Boston, MA 02114 Phone: 617-523-7900 | |
Dr. Angell Shi, MD Ophthalmology Medicare: Medicare Enrolled Practice Location: 300 Longwood Ave, Boston, MA 02115 Phone: 617-355-6000 | |
Michael V Boland, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 243 Charles St, Boston, MA 02114 Phone: 617-573-3611 | |
Dr. Parvathy A Pillai, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 243 Charles St, Boston, MA 02114 Phone: 617-647-1226 Fax: 617-573-3181 |