Kenneth M Grundfast, MD | |
820 Harrison Ave, Suite 4005, Boston, MA 02118-2905 | |
(617) 638-7934 | |
Not Available |
Full Name | Kenneth M Grundfast |
---|---|
Gender | Male |
Speciality | Otolaryngology |
Experience | 55 Years |
Location | 820 Harrison Ave, Boston, 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 |
---|---|---|---|
1336101054 | NPI | - | NPPES |
110061841A | Medicaid | MA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Y00000X | Otolaryngology | MD6119 (District Of Columbia) | Secondary |
207Y00000X | Otolaryngology | 160725 (Massachusetts) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Boston Medical Center | Boston, MA | Hospital |
Massachusetts Eye And Ear Infirmary - | Boston, MA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Bumc Otolaryngologic Foundation Inc | 2163409400 | 23 |
Massachusetts Eye And Ear Associates, Inc | 4486540275 | 335 |
New England Ear Nose And Throat Llc | 7618125931 | 7 |
George Washington University Medical Faculty Associates | 4082528898 | 634 |
Entity Name | Massachusetts Eye And Ear Associates, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932574332 PECOS PAC ID: 4486540275 Enrollment ID: O20040227000123 |
Entity Name | Bumc Otolaryngologic Foundation Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942257159 PECOS PAC ID: 2163409400 Enrollment ID: O20040702001184 |
Entity Name | New England Ear Nose And Throat Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013279108 PECOS PAC ID: 7618125931 Enrollment ID: O20120912000005 |
Mailing Address | Practice Location Address |
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Kenneth M Grundfast, MD 820 Harrison Ave, Suite 4005, Boston, MA 02118-2905 Ph: () - | Kenneth M Grundfast, MD 820 Harrison Ave, Suite 4005, Boston, MA 02118-2905 Ph: (617) 638-7934 |
Dr. Steven D. Rauch, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 243 Charles St, Boston, MA 02114 Phone: 617-523-7900 | |
Elliott D. Kozin, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 243 Charles St, Boston, MA 02114 Phone: 617-573-6545 | |
Katherine Nicole Vandenberg, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 830 Harrison Ave Ste 1400, Boston, MA 02118 Phone: 617-638-8124 | |
Yoon Sun Chun, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 75 Francis St, Brigham And Women's Hospital Dept Of Plastic Surgery, Boston, MA 02115 Phone: 617-732-8181 Fax: 617-983-4534 | |
Jaimie Derosa, M.D. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 91 Newbury St, Suite 300, Boston, MA 02116 Phone: 617-262-8000 Fax: 617-262-8002 | |
Dr. Usama M Aboelkheir, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 736 Cambridge St, Smc8, Boston, MA 02135 Phone: 617-789-5004 Fax: 617-779-6481 | |
Dr. Sean Peter Mckee, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 243 Charles St, Boston, MA 02114 Phone: 617-573-3654 Fax: 617-573-3939 |