Dr Lisa Bergersen, MD MPH | |
300 Longwood Ave, Boston, MA 02115-5724 | |
(617) 335-7893 | |
Not Available |
Full Name | Dr Lisa Bergersen |
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Gender | Female |
Speciality | Pediatrics - Pediatric Cardiology |
Location | 300 Longwood Ave, Boston, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1942299730 | NPI | - | NPPES |
2039290 | Medicaid | MA | |
28244 | Other | MA | BMC HEALTHNET |
J27337 | Other | MA | HMO BLUE |
J27337 | Other | MA | BCBS MA |
468809 | Other | MA | TUFTS HEALTH PLAN |
96969201 | Other | MA | NETWORK HEALTH |
2501928 | Other | MA | UNITED HEALTHCARE MA |
J27337 | Other | MA | BLUE CARE ELECT |
LB54040 | Medicaid | RI |
Entity Name | Boston Childrens Heart Foundation Inc |
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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 |
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Dr Lisa Bergersen, MD MPH Po Box 9135, Att:sharon Silva, Brookline, MA 02446-9135 Ph: (603) 890-4404 | Dr Lisa Bergersen, MD MPH 300 Longwood Ave, Boston, MA 02115-5724 Ph: (617) 335-7893 |
Puja Banka, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 300 Longwood Ave, Bader 203, Boston, MA 02115 Phone: 617-355-6363 | |
Angela M. Jacques, MD Pediatrics Medicare: Medicare Enrolled Practice Location: Massachusetts General Hospital, 55 Fruit St., Boston, MA 02114 Phone: 617-726-2066 | |
Dr. Elizabeth S Taglauer, M.D., PH.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 300 Longwood Ave, Boston, MA 02115 Phone: 617-355-6000 | |
Cailyn Hereen Rood, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 300 Longwood Ave, Boston, MA 02115 Phone: 617-355-6000 | |
Dr. Alon Peltz, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 300 Longwood Ave, Boston, MA 02115 Phone: 617-355-6000 | |
Miki Nishitani, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 300 Longwood Ave, Boston, MA 02115 Phone: 617-355-6000 | |
Vickren Pillay, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 300 Longwood Ave, Boston, MA 02115 Phone: 617-355-6000 |