Kimball C Atwood Iv, MD | |
2014 Washington St, Dept Of Anesthesia, Newton, MA 02462 | |
(617) 243-6298 | |
(617) 243-6184 |
Full Name | Kimball C Atwood Iv |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Location | 2014 Washington St, Newton, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1861423345 | NPI | - | NPPES |
3010121 | Medicaid | MA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 47842 (Massachusetts) | Primary |
Entity Name | Lahey Clinic Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538194980 PECOS PAC ID: 2264336528 Enrollment ID: O20031120000097 |
Entity Name | Lahey Clinic Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063447316 PECOS PAC ID: 2264336528 Enrollment ID: O20040629001269 |
Entity Name | Commonwealth Anesthesia Associates, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184645194 PECOS PAC ID: 9739151143 Enrollment ID: O20040806000889 |
Mailing Address | Practice Location Address |
---|---|
Kimball C Atwood Iv, MD 2014 Washington St, C/o Par Mgmt, Newton, MA 02462-1607 Ph: (781) 449-6150 | Kimball C Atwood Iv, MD 2014 Washington St, Dept Of Anesthesia, Newton, MA 02462 Ph: (617) 243-6298 |
Dr. Antje Marianne Barreveld, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2014 Washington St, Newton, MA 02462 Phone: 617-243-6298 | |
Viet Lukasz Cai, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2014 Washington St, Newton, MA 02462 Phone: 617-243-6467 | |
Michelle Qi, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2014 Washington St, Newton, MA 02462 Phone: 617-243-6298 | |
Dr. Jack Mccallion, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2014 Washington St, Newton, MA 02462 Phone: 617-243-6298 Fax: 617-243-6184 | |
Kenneth Aaron Garrett, DO Anesthesiology Medicare: Medicare Enrolled Practice Location: 2014 Washington St, Newton, MA 02462 Phone: 617-243-6298 | |
Davies G Agyekum, M.D., PHD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2014 Washington St, Newton, MA 02462 Phone: 617-243-6298 | |
Jaime T Lopez, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 2014 Washington St, Dept Of Anesthesia, Newton, MA 02462 Phone: 617-243-6298 Fax: 617-243-6184 |