Kathy Jenkins, MD | |
300 Longwood Ave, Boston, MA 02115-5724 | |
(617) 355-2793 | |
Not Available |
Full Name | Kathy Jenkins |
---|---|
Gender | Female |
Speciality | Pediatrics - Pediatric Cardiology |
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 |
---|---|---|---|
1518958404 | NPI | - | NPPES |
3114520 | Medicaid | MA | |
604501 | Other | MA | HARVARD PILGRIM |
KJ03671 | Medicaid | RI | |
1508016 | Medicaid | NY | |
7613741 | Other | NC | MEDICAID NC |
B20216801 | Other | MA | CIGNA MA |
99085901 | Other | MA | NETWORK HEALTH |
300006034 | Medicaid | NH | |
7500149 | Other | MA | UNITED HEALTHCARE MA |
J14168 | Other | MA | BCBS MA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 72081 (Massachusetts) | Secondary |
2080P0202X | Pediatrics - Pediatric Cardiology | 72081 (Massachusetts) | Primary |
Entity Name | Boston Childrens Heart Foundation Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982680922 PECOS PAC ID: 8729071675 Enrollment ID: O20040406001030 |
Mailing Address | Practice Location Address |
---|---|
Kathy Jenkins, MD 300 Longwood Ave, Boston, MA 02115-5724 Ph: (617) 355-7275 | Kathy Jenkins, MD 300 Longwood Ave, Boston, MA 02115-5724 Ph: (617) 355-2793 |
Puja Banka, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 300 Longwood Ave, Bader 203, Boston, MA 02115 Phone: 617-355-6363 | |
Angela M. Jacques, MD Pediatrics Medicare: Medicare Enrolled Practice Location: Massachusetts General Hospital, 55 Fruit St., Boston, MA 02114 Phone: 617-726-2066 | |
Dr. Elizabeth S Taglauer, M.D., PH.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 300 Longwood Ave, Boston, MA 02115 Phone: 617-355-6000 | |
Cailyn Hereen Rood, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 300 Longwood Ave, Boston, MA 02115 Phone: 617-355-6000 | |
Dr. Alon Peltz, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 300 Longwood Ave, Boston, MA 02115 Phone: 617-355-6000 | |
Miki Nishitani, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 300 Longwood Ave, Boston, MA 02115 Phone: 617-355-6000 | |
Vickren Pillay, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 300 Longwood Ave, Boston, MA 02115 Phone: 617-355-6000 |