John Kevin Fitzpatrick, MD | |
40 Holland St, Somerville, MA 02144-2705 | |
(617) 629-6330 | |
(617) 629-6128 |
Full Name | John Kevin Fitzpatrick |
---|---|
Gender | Male |
Speciality | Obstetrics & Gynecology |
Location | 40 Holland St, Somerville, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1831176148 | NPI | - | NPPES |
0709873 | Other | NY | IHA |
0709873 | Other | NY | IND. HEALTH |
00010307609 | Other | NY | UNIVERA |
000525153011 | Other | NY | BC/BS |
452962 | Other | NY | WELLCARE |
00010307607 | Other | NY | UNIVERA |
000525153009 | Other | NY | BC/BS |
01775837 | Medicaid | NY | |
040426000844 | Other | NY | FIDELIS |
050407000022 | Other | NY | FIDELIS |
111517CK | Other | NY | PREFERRED CARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | 206765 (New York) | Secondary |
207V00000X | Obstetrics & Gynecology | 242431 (Massachusetts) | Primary |
Entity Name | Nyu Langone Hospitals |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790975944 PECOS PAC ID: 4981515699 Enrollment ID: O20050721000058 |
Mailing Address | Practice Location Address |
---|---|
John Kevin Fitzpatrick, MD 147 Milk St, Boston, MA 02109-4806 Ph: () - | John Kevin Fitzpatrick, MD 40 Holland St, Somerville, MA 02144-2705 Ph: (617) 629-6330 |
Dr. Stephanie Louise Koontz, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 40 Holland St, Somerville, MA 02144 Phone: 617-629-6330 Fax: 617-629-6128 | |
Patricia M Chaudhuri, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 230 Highland Ave, Women's Health Center, Somerville, MA 02143 Phone: 617-591-4800 | |
Sylvia A Fine, Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 40 Holland St, Somerville, MA 02144 Phone: 617-629-6000 | |
Fernando Jose Roca Vall-llobera, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 40 Holland St, Somerville, MA 02144 Phone: 617-629-6330 | |
Dr. Cari Ellen Brown, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 40 Holland St, Somerville, MA 02144 Phone: 617-629-6330 Fax: 617-629-6128 |