Kevin J Ennis, MD | |
75 Lindall Street, Center For Healthy Aging, Danvers, MA 01923 | |
(978) 774-4400 | |
Not Available |
Full Name | Kevin J Ennis |
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Gender | Male |
Speciality | Internal Medicine - Geriatric Medicine |
Location | 75 Lindall Street, Danvers, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1508804725 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0300X | Internal Medicine - Geriatric Medicine | 225012 (Massachusetts) | Primary |
Entity Name | Harbor Health Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881692366 PECOS PAC ID: 0345146213 Enrollment ID: O20040223000221 |
Entity Name | Northeast Hospital Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508052218 PECOS PAC ID: 1153213202 Enrollment ID: O20040420001051 |
Mailing Address | Practice Location Address |
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Kevin J Ennis, MD 75 Lindall Street, Center For Healthy Aging, Danvers, MA 01923 Ph: (978) 774-4400 | Kevin J Ennis, MD 75 Lindall Street, Center For Healthy Aging, Danvers, MA 01923 Ph: (978) 774-4400 |
Margaret Legner, MD Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: Lahey Primary Care, Danvers, 5 Federal Street 1st Floor, Danvers, MA 01923 Phone: 978-777-6544 | |
Dr. Edward J Loughery, M.D. Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 480 Maple Street, Northeast Cardiology, Danvers, MA 01923 Phone: 978-304-8360 Fax: 978-304-8320 | |
B. Geoffrey Piken, M.D. Geriatric Medicine Medicare: Not Enrolled in Medicare Practice Location: 5 Federal St, Danvers, MA 01923 Phone: 978-774-0730 | |
Dr. Timothy M Loughran, MD Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 480 Maple St Ste 204, Danvers, MA 01923 Phone: 978-774-0989 | |
Mauri Roger Cohen, M.D. Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 5 Federal Street, Lahey Health Primary Care, Danvers, Danvers, MA 01923 Phone: 978-750-0200 Fax: 978-450-0220 | |
Ruili Gu, M.D. Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Hutchinson Dr, Danvers, MA 01923 Phone: 978-739-6950 Fax: 978-777-9274 | |
Michelle Hyunju Lee, M.D. Geriatric Medicine Medicare: Medicare Enrolled Practice Location: 102 Endicott St, Danvers, MA 01923 Phone: 617-643-7972 |