Jerilyn Marie Latini, MD | |
1400 Vfw Pkwy, Mail Code Wx-112, West Roxbury, MA 02132-4927 | |
(857) 203-6551 | |
(857) 203-6660 |
Full Name | Jerilyn Marie Latini |
---|---|
Gender | Female |
Speciality | Urology |
Location | 1400 Vfw Pkwy, West Roxbury, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1710078076 | NPI | - | NPPES |
1577485 | Medicaid | AK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | 7321 (Alaska) | Primary |
Entity Name | Southeast Alaska Regional Health Consortium |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376758037 PECOS PAC ID: 1456265362 Enrollment ID: O20031114000631 |
Entity Name | Alaska Native Tribal Health Consortium |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437189339 PECOS PAC ID: 6709780265 Enrollment ID: O20031125000772 |
Entity Name | Yukon-kuskokwim Health Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447477815 PECOS PAC ID: 5193718765 Enrollment ID: O20040407001515 |
Entity Name | Maniilaq Association |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861698805 PECOS PAC ID: 6103881792 Enrollment ID: O20041123000372 |
Mailing Address | Practice Location Address |
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Jerilyn Marie Latini, MD 1400 Vfw Pkwy, Mail Code Wx-112, West Roxbury, MA 02132-4927 Ph: (857) 203-6551 | Jerilyn Marie Latini, MD 1400 Vfw Pkwy, Mail Code Wx-112, West Roxbury, MA 02132-4927 Ph: (857) 203-6551 |
Dr. Ralph Philip Orlando, M.D. Urology Medicare: Medicare Enrolled Practice Location: 1400 Vfw Pkwy, Boston Va Hospital/section Of Urology (112), West Roxbury, MA 02132 Phone: 857-203-6551 Fax: 857-203-5549 | |
Daniel Arthur Wollin, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 1400 Vfw Pkwy, West Roxbury, MA 02132 Phone: 617-323-7700 | |
Dr. Lori B Lerner, MD Urology Medicare: Medicare Enrolled Practice Location: 1400 Vfw Pkwy, West Roxbury, MA 02132 Phone: 857-364-6150 | |
Dr. Subbarao Venkata Yalla, M.D Urology Medicare: Not Enrolled in Medicare Practice Location: 1400 Vfw Pkwy, West Roxbury, MA 02132 Phone: 617-323-7700 Fax: 857-363-5567 |