Jason Glen Lieberthal, MD | |
330 Mount Auburn St, South 4, Room 454, Cambridge, MA 02138-5502 | |
(617) 499-5112 | |
Not Available |
Full Name | Jason Glen Lieberthal |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 15 Years |
Location | 330 Mount Auburn St, Cambridge, 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 |
---|---|---|---|
1518192947 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208M00000X | Hospitalist | 250216 (Massachusetts) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Mount Auburn Hospital | Cambridge, MA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mt Auburn Professional Services | 6103725031 | 258 |
Entity Name | Mt Auburn Professional Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992750996 PECOS PAC ID: 6103725031 Enrollment ID: O20040527001374 |
Mailing Address | Practice Location Address |
---|---|
Jason Glen Lieberthal, MD 330 Mount Auburn St, South 4, Room 454, Cambridge, MA 02138-5502 Ph: (617) 499-5112 | Jason Glen Lieberthal, MD 330 Mount Auburn St, South 4, Room 454, Cambridge, MA 02138-5502 Ph: (617) 499-5112 |
Auddri Rahman, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 330 Mount Auburn St, Cambridge, MA 02138 Phone: 617-499-5112 Fax: 617-575-8608 | |
Vikas Gampa, Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1493 Cambridge St, Cambridge, MA 02139 Phone: 617-665-3600 | |
Dr. Joseph Gene Omlor, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 330 Mount Auburn St Ste 454, Cambridge, MA 02138 Phone: 617-492-3500 | |
Miss Janet O Yardley, MD Hospitalist Medicare: Not Enrolled in Medicare Practice Location: 1493 Cambridge St, Macht B10, Cambridge, MA 02139 Phone: 617-665-1000 Fax: 617-665-1976 | |
Abdul Qadir Dar, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 330 Mount Auburn St, Cambridge, MA 02138 Phone: 617-492-3500 | |
Dr. Erica Dwyer, MD, PHD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1493 Cambridge St, Cambridge, MA 02139 Phone: 617-665-3555 | |
Dr. Soumya Narayan, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 1493 Cambridge St, Cambridge, MA 02139 Phone: 617-665-1000 |