Lisa F Antonelli, MD | |
2100 Dorchester Avenue, Smg - Carney Hospital, Dorchester, MA 02124 | |
(617) 296-4000 | |
(617) 474-3860 |
Full Name | Lisa F Antonelli |
---|---|
Gender | Female |
Speciality | Internal Medicine - Cardiovascular Disease |
Location | 2100 Dorchester Avenue, Dorchester, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1639169618 | NPI | - | NPPES |
3060284 | Medicaid | MA | |
J09499 | Other | MA | BCBS |
60264 | Other | MA | HPHC |
755370 | Other | MA | TUFTS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RC0000X | Internal Medicine - Cardiovascular Disease | 72272 (Massachusetts) | Primary |
Entity Name | Pocatello Health Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689802852 PECOS PAC ID: 6608927637 Enrollment ID: O20090701000646 |
Mailing Address | Practice Location Address |
---|---|
Lisa F Antonelli, MD 2100 Dorchester Avenue, Smg - Carney Hospital, Dorchester, MA 02124 Ph: (617) 296-4000 | Lisa F Antonelli, MD 2100 Dorchester Avenue, Smg - Carney Hospital, Dorchester, MA 02124 Ph: (617) 296-4000 |
Jugta Khuman, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 50 Island View Pl, Apt#603, Dorchester, MA 02125 Phone: 215-687-0833 | |
Dr. Dana Marie Hornbeak, M.D., M.P.H. Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 2100 Dorchester Ave, Caritas Carney Hospital, 7 South, Dorchester, MA 02124 Phone: 617-506-2726 | |
Ramninder Singh Nagra, MD Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 2100 Dorchester Ave, Dorchester, MA 02124 Phone: 617-506-2726 | |
Jean J Alves, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 230 Bowdoin St, Dorchester, MA 02122 Phone: 617-754-0066 | |
Dr. Emeka Agudile, MD Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 2100 Dorchester Ave, Dorchester, MA 02124 Phone: 617-506-2726 | |
Anastasia Maltseva, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 2100 Dorchester Ave, Dorchester, MA 02124 Phone: 617-506-2726 | |
Dr. Omodamola Abisola Aje, Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 2100 Dorchester Ave, Dorchester, MA 02124 Phone: 617-506-2726 |