Mia Susan Desimone, MD, MPH | |
75 Francis St, Boston, MA 02115-6110 | |
(617) 732-8613 | |
Not Available |
Full Name | Mia Susan Desimone |
---|---|
Gender | Female |
Speciality | Pathology |
Experience | 7 Years |
Location | 75 Francis St, 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 |
---|---|---|---|
1336660778 | NPI | - | NPPES |
271625 | Medicaid | MA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 286373 (Massachusetts) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
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 |
---|---|---|
Brigham And Womens Physicians Organization Inc | 3870405988 | 2511 |
Entity Name | Brigham & Womens Physicians Organization Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033535497 PECOS PAC ID: 3870405988 Enrollment ID: O20150107001260 |
Mailing Address | Practice Location Address |
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Mia Susan Desimone, MD, MPH 75 Francis St, Boston, MA 02115-6110 Ph: () - | Mia Susan Desimone, MD, MPH 75 Francis St, Boston, MA 02115-6110 Ph: (617) 732-8613 |
Arthur J Sytkowski, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: Beth Israel Deaconess, One Deaconess Road, Boston, MA 02215 Phone: 617-632-9980 | |
Stuti Girish Shroff, MD, MBBS Pathology Medicare: Accepting Medicare Assignments Practice Location: 55 Fruit St, Boston, MA 02114 Phone: 617-726-2971 Fax: 617-726-7533 | |
Dr. David Kolin, M.D., PH.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 75 Francis St., Department Of Pathology, Boston, MA 02115 Phone: 617-732-6913 Fax: 617-277-9015 | |
Dr. Dimitra Pouli, MD, PHD Pathology Medicare: Medicare Enrolled Practice Location: 300 Longwood Ave, Boston, MA 02115 Phone: 617-355-6000 | |
Dr. Nancy Lee Harris, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 55 Fruit Street, Wrn 2 Pathology Associates, Boston, MA 02114 Phone: 617-726-5155 Fax: 617-726-9353 | |
Dr. Michael Gerald Drage, MD, PHD Pathology Medicare: Medicare Enrolled Practice Location: 55 Fruit St Bldg 225, Boston, MA 02114 Phone: 617-643-0800 Fax: 617-726-7474 | |
Dr. Ruth K Foreman, MD, PHD Pathology Medicare: Accepting Medicare Assignments Practice Location: 75 Francis St, Department Of Pathology, Brigham And Women's Hospital, Boston, MA 02115 Phone: 617-732-8613 |