Mark Wade Dickinson, MD | |
388 Commonwealth Ave, Mgh Back Bay, Boston, MA 02215-2800 | |
(617) 267-7171 | |
(617) 262-2608 |
Full Name | Mark Wade Dickinson |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 35 Years |
Location | 388 Commonwealth Ave, Boston, 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 |
---|---|---|---|
1154320059 | NPI | - | NPPES |
AA77715 | Other | MA | HPHC |
AA77715 | Other | MA | MASSHEALTH |
121680 | Other | MA | FALLON |
2128071 | Medicaid | MA | |
OX2506 | Other | MA | MEDICARE PTAN GROUP 21240 |
3975642 | Other | MA | CIGNA |
495561 | Other | MA | TUFTS |
5035676 | Other | MA | AETNA |
96009801 | Other | MA | NETWORK HEALTH |
J41145 | Other | MA | BCBS |
OX2507 | Other | MA | MEDICARE PTAN GROUP 21241 |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 230380 (Massachusetts) | Secondary |
208000000X | Pediatrics | 230380 (Massachusetts) | Primary |
208M00000X | Hospitalist | 230380 (Massachusetts) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Partners Healthcare At Home - Home Care | Waltham, MA | Home health agency |
Massachusetts General Hospital | Boston, MA | Hospital |
Brigham And Women's Hospital | Boston, MA | Hospital |
Faulkner Hospital-brigham And Women's | Boston, MA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Massachusetts General Physicians Organization Inc | 2466365820 | 3084 |
The General Hospital Corporation | 6507803806 | 1058 |
Entity Name | Massachusetts General Physicians Organization Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801874573 PECOS PAC ID: 2466365820 Enrollment ID: O20031111000434 |
Entity Name | The General Hospital Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023049236 PECOS PAC ID: 6507803806 Enrollment ID: O20080313000351 |
Mailing Address | Practice Location Address |
---|---|
Mark Wade Dickinson, MD 388 Commonwealth Ave, Mgh Back Bay, Boston, MA 02215-2800 Ph: (617) 267-7171 | Mark Wade Dickinson, MD 388 Commonwealth Ave, Mgh Back Bay, Boston, MA 02215-2800 Ph: (617) 267-7171 |
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 |