Kevin F O'donnell, MD | |
11 Nevins St, Suite 201, Brighton, MA 02135-3514 | |
(617) 789-2442 | |
(617) 789-4207 |
Full Name | Kevin F O'donnell |
---|---|
Gender | Male |
Speciality | Surgery |
Location | 11 Nevins St, Brighton, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1427047190 | NPI | - | NPPES |
2042711 | Medicaid | MA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 58951 (Massachusetts) | Primary |
Entity Name | Steward Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629398219 PECOS PAC ID: 2860688728 Enrollment ID: O20101119000007 |
Entity Name | Steward Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629398219 PECOS PAC ID: 2860688728 Enrollment ID: O20101119000332 |
Mailing Address | Practice Location Address |
---|---|
Kevin F O'donnell, MD 11 Nevins St, Suite 201, Brighton, MA 02135-3514 Ph: (617) 789-2442 | Kevin F O'donnell, MD 11 Nevins St, Suite 201, Brighton, MA 02135-3514 Ph: (617) 789-2442 |
Zahra Alhajji, Surgery Medicare: Medicare Enrolled Practice Location: 736 Cambirdge St, Brighton, MA 02135 Phone: 617-789-2990 Fax: 617-789-3419 | |
Oseogie Okojie, MD Surgery Medicare: Medicare Enrolled Practice Location: 736 Cambridge St, Brighton, MA 02135 Phone: 617-789-2777 | |
Dr. Maria Arshanskiy, MD Surgery Medicare: Medicare Enrolled Practice Location: 736 Cambridge St, Brighton, MA 02135 Phone: 617-789-2990 | |
Marvin J Lopez, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 11 Nevins St, Ste 201, Brighton, MA 02135 Phone: 617-789-2442 Fax: 617-789-4207 | |
Dr. Edward-michael Dussom, MD Surgery Medicare: Medicare Enrolled Practice Location: 736 Cambridge St, Brighton, MA 02135 Phone: 617-789-2990 | |
Dr. Aaron Richard Dezube, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 736 Cambridge St, Cmp 1, Brighton, MA 02135 Phone: 617-789-2990 | |
Grace Lassiter, MD Surgery Medicare: Medicare Enrolled Practice Location: 736 Cambridge St, Brighton, MA 02135 Phone: 617-789-2000 |