Sanjay Mudigonda, MD | |
2014 Washington Street, Newton, MA 02462 | |
(617) 243-6162 | |
(207) 347-7401 |
Full Name | Sanjay Mudigonda |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 25 Years |
Location | 2014 Washington Street, Newton, 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 |
---|---|---|---|
1942277983 | NPI | - | NPPES |
2066262 | Medicaid | MA | |
J28221 | Other | MA | BLUE CROSS BLUE SHIELD |
467604 | Other | MA | TUFTS HEALTH CARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 221962 (Massachusetts) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Kaiser Foundation Hospital | San rafael, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Permanente Medical Group Inc | 8921910225 | 8376 |
Entity Name | Permanente Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Mailing Address | Practice Location Address |
---|---|
Sanjay Mudigonda, MD Po Box 417400, Boston, MA 02241-0001 Ph: (800) 360-4391 | Sanjay Mudigonda, MD 2014 Washington Street, Newton, MA 02462 Ph: (617) 243-6162 |
Dr. Andrea L Russo, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2014 Washington St, Newton, MA 02462 Phone: 617-219-1200 | |
Leah E Schafer, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 2014 Washington Street, Newton, MA 02462 Phone: 617-243-6161 Fax: 207-347-7401 | |
Mary A Drinkwater, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2014 Washington Street, Newton, MA 02462 Phone: 617-243-6162 | |
Steven L Miller, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2014 Washington St, Newton Wellesley Radiology Associates, Newton, MA 02462 Phone: 617-243-6600 | |
Daniel G Mcdonald, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 2014 Washington St, Newton Wellesley Radiology Associates, Newton, MA 02462 Phone: 617-243-6600 | |
Hamid Salamipour, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2014 Washington St, Newton, MA 02462 Phone: 617-243-6162 Fax: 207-347-7401 | |
Marla P Polger, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2014 Washington St, Newton Wellesley Radiology Associates, Newton, MA 02462 Phone: 617-243-6600 |