Mark J Brenner, MD | |
20 Washington Sq, Worcester, MA 01604-4013 | |
(508) 363-6218 | |
Not Available |
Full Name | Mark J Brenner |
---|---|
Gender | Male |
Speciality | Radiation Oncology |
Experience | 43 Years |
Location | 20 Washington Sq, Worcester, Massachusetts |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1902873409 | NPI | - | NPPES |
110085074A | Medicaid | MA | |
920004528 | Other | MD | RR MEDICARE |
168741700 | Medicaid | MD | |
920007556 | Other | MD | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0001X | Radiology - Radiation Oncology | D0041640 (Maryland) | Secondary |
2085R0202X | Radiology - Diagnostic Radiology | 54099 (Massachusetts) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Vincent Hospital | Worcester, MA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Saint Vincent Physician Services Inc | 8921056276 | 70 |
Entity Name | Saint Vincent Physician Services Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013997329 PECOS PAC ID: 8921056276 Enrollment ID: O20050104000566 |
Mailing Address | Practice Location Address |
---|---|
Mark J Brenner, MD 20 Washington Sq, Worcester, MA 01604-4013 Ph: (508) 363-6218 | Mark J Brenner, MD 20 Washington Sq, Worcester, MA 01604-4013 Ph: (508) 363-6218 |
Dominique Rowcroft, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 55 Lake Ave N, Worcester, MA 01655 Phone: 508-334-3850 | |
Alan Goldstein, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 55 Lake Ave N, Worcester, MA 01655 Phone: 508-334-3850 Fax: 508-856-1860 | |
Nicholas Charles Fasano, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 55 Lake Ave North, Worcester, MA 01655 Phone: 508-334-3850 | |
Jasmeet Singh, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 55 Lake Ave N, Worcester, MA 01655 Phone: 508-334-3850 Fax: 508-334-9108 | |
John Robinson, Radiology Medicare: Accepting Medicare Assignments Practice Location: 55 Lake Ave N, Worcester, MA 01655 Phone: 508-334-3850 | |
Fareed Riyaz, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 123 Summer St, Worcester, MA 01608 Phone: 978-939-2035 Fax: 978-939-2039 | |
Dr. Elias H Salloum, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 123 Summer St, Worcester, MA 01608 Phone: 508-363-6177 |