Laura Marie Bevilacqua, MD | |
300 Longwood Ave, Boston, MA 02115-5724 | |
(617) 355-6793 | |
Not Available |
Full Name | Laura Marie Bevilacqua |
---|---|
Gender | Female |
Speciality | Pediatric Medicine |
Experience | 32 Years |
Location | 300 Longwood Ave, Boston, Massachusetts |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700875507 | NPI | - | NPPES |
30201468 | Medicaid | NH | |
75-00451 | Other | MA | UNITED HEALTHCARE MA |
003136000 | Medicaid | CT | |
2357326 | Medicaid | NY | |
J21189 | Other | MA | BCBS MA |
3198235 | Medicaid | MA | |
LB45398 | Medicaid | RI | |
8753709 | Medicaid | NJ | |
99487301 | Other | MA | NETWORK HEALTH |
J21189 | Other | MA | HMO BLUE |
AA9205 | Other | MA | HARVARD PILGRIM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 155889 (Massachusetts) | Secondary |
207RC0001X | Internal Medicine - Clinical Cardiac Electrophysiology | 155889 (Massachusetts) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Boston Children's Hospital | Boston, MA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Boston Childrens Heart Foundation Inc | 8729071675 | 70 |
Entity Name | Boston Childrens Heart Foundation Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982680922 PECOS PAC ID: 8729071675 Enrollment ID: O20040406001030 |
Mailing Address | Practice Location Address |
---|---|
Laura Marie Bevilacqua, MD Po Box 9135, Att:sharon Silva, Brookline, MA 02446-9135 Ph: (603) 890-4404 | Laura Marie Bevilacqua, MD 300 Longwood Ave, Boston, MA 02115-5724 Ph: (617) 355-6793 |
Kaitlyn My-tu Lam, MBBS Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: Massachusetts General Hospital, 55 Fruit Street, Boston, MA 02114 Phone: 617-724-7738 | |
Kui Toh Gerard Leong, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 55 Fruit Street, Massachusetts General Hospital, Boston, MA 02114 Phone: 617-726-8862 | |
Ruma Rajbhandari, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 75 Francis St, Boston, MA 02115 Phone: 617-525-6841 | |
Alaka Ray, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: Massachusetts General Hospital, 55 Fruit Street, Boston, MA 02114 Phone: 617-726-2066 | |
Meghan E Sise, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: Massachusetts General Hospital, 55 Fruit Street, Boston, MA 02114 Phone: 617-726-2862 | |
Aaron Dickstein, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 800 Washington St, Box 233, Boston, MA 02111 Phone: 617-636-5883 Fax: 617-636-9292 | |
Dr. Felicia Elizabeth Patch, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 801 Massachusetts Ave, Crosstown 2, Boston, MA 02118 Phone: 617-414-4376 Fax: 617-414-4676 |