Jean Tuan Lee, MD | |
63 Main St, Brockton, MA 02301-4042 | |
(508) 559-6699 | |
(508) 583-4649 |
Full Name | Jean Tuan Lee |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 63 Main St, Brockton, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1336162528 | NPI | - | NPPES |
0017612 | Other | NEIGHBORHOOD HEALTH PLAN | |
32531 | Other | MA | HEALTHY START |
32531 | Other | CHILDRENS MEDICAL SECURIT | |
J25607 | Other | BLUE CROSS BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 159687 (Massachusetts) | Primary |
Entity Name | Brockton Neighborhood Health Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225085319 PECOS PAC ID: 3870491699 Enrollment ID: O20031230000558 |
Mailing Address | Practice Location Address |
---|---|
Jean Tuan Lee, MD 63 Main St, Brockton, MA 02301-4042 Ph: (508) 559-6699 | Jean Tuan Lee, MD 63 Main St, Brockton, MA 02301-4042 Ph: (508) 559-6699 |
Mr. Jules Rako, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 830 Oak St, Ste 200w, Brockton, MA 02301 Phone: 508-586-7334 Fax: 508-583-7599 | |
Dr. Crystal L Rainville, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: One Pearl Street, Suite 2000, Brockton, MA 02301 Phone: 508-894-8577 Fax: 508-894-8578 | |
Madeleine Mbuyamba, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 63 Main St, Brockton, MA 02301 Phone: 508-559-6699 Fax: 508-583-4649 | |
Emily Slosberg, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 158 Pleasant Street, Brockton, MA 02301 Phone: 508-894-3363 Fax: 508-893-4649 | |
Alan B Bulotsky, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 201 Quincy St, Brockton, MA 02302 Phone: 508-584-1890 Fax: 508-580-3332 | |
Freya S Emspak, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 110 Liberty St, Brockton, MA 02301 Phone: 508-894-0400 Fax: 508-894-0618 | |
Dr. Howard H Kay, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 65 Libby St, Brockton, MA 02302 Phone: 508-584-6060 Fax: 508-584-4949 |