Mr Matthew Philip Brewer, MD | |
548 Lebanon St, Melrose, MA 02176 | |
(781) 665-4364 | |
(781) 662-2284 |
Full Name | Mr Matthew Philip Brewer |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 548 Lebanon St, Melrose, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003824202 | NPI | - | NPPES |
9787119 | Medicaid | MA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 79158 (Massachusetts) | Primary |
Entity Name | Pratt Pediatric Associates Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477590511 PECOS PAC ID: 3779475371 Enrollment ID: O20040329000127 |
Mailing Address | Practice Location Address |
---|---|
Mr Matthew Philip Brewer, MD 548 Lebanon St, Melrose, MA 02176 Ph: (781) 665-4364 | Mr Matthew Philip Brewer, MD 548 Lebanon St, Melrose, MA 02176 Ph: (781) 665-4364 |
Dr. Rhonda S Fogle, MD, CM Pediatrics Medicare: Medicare Enrolled Practice Location: 50 Tremont St, Melrose, MA 02176 Phone: 781-665-8600 Fax: 781-665-5532 | |
Mrs. Leslie Ann Nystuen, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 548 Lebanon Street, Melrose, MA 02176 Phone: 781-665-4364 Fax: 781-662-2284 | |
Dr. Jeffrey Stuart Feldman, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 340 Main St, Suite 101, Melrose, MA 02176 Phone: 781-662-4560 Fax: 781-662-4585 |