Kenneth D Polivy, MD | |
2000 Washington St, Suite 341, Newton, MA 02462-1650 | |
(617) 964-0024 | |
(617) 964-6374 |
Full Name | Kenneth D Polivy |
---|---|
Gender | Male |
Speciality | Orthopedic Surgery |
Experience | 46 Years |
Location | 2000 Washington St, Newton, 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 |
---|---|---|---|
1194794115 | NPI | - | NPPES |
6183484 | Medicaid | MA | |
17266 | Other | MA | HARVARD PILGRIM |
047345 | Other | MA | TUFTS |
J03453 | Other | MA | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207X00000X | Orthopaedic Surgery | 47345 (Massachusetts) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Newton-wellesley Hospital | Newton, MA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Newton Wellesley Orthopedic Associates Inc | 0042287591 | 21 |
Entity Name | Newton Wellesley Orthopedic Associates Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356430896 PECOS PAC ID: 0042287591 Enrollment ID: O20040914000506 |
Mailing Address | Practice Location Address |
---|---|
Kenneth D Polivy, MD 2000 Washington St, Suite 341, Newton, MA 02462-1650 Ph: (617) 964-0024 | Kenneth D Polivy, MD 2000 Washington St, Suite 341, Newton, MA 02462-1650 Ph: (617) 964-0024 |
Bruce M. Leslie, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2000 Washington St, Suite 341, Newton, MA 02462 Phone: 617-964-0024 Fax: 617-964-6374 | |
Dr. Michael S Guss, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 159 Wells Ave Ste 500, Newton, MA 02459 Phone: 617-965-4263 | |
Dr. David Evan Ruchelsman, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2000 Washington St, Blue 201, Newton, MA 02462 Phone: 617-965-4263 Fax: 617-928-0597 | |
Dr. Timothy Earle Foster, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2000 Washington St, Suite 423, Newton, MA 02462 Phone: 617-219-1280 Fax: 617-219-1281 | |
Felicia Ollivierre, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 831 Beacon St, # 243, Newton, MA 02459 Phone: 617-245-8500 | |
Dr. Matthew I Leibman, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2000 Washington Street, Blue 201, Newton, MA 02462 Phone: 617-965-4263 Fax: 617-928-0597 |