| Barbara Keezell, Pc | |
|
1415 Beacon St Room 302 Brookline MA 02446-4816 | |
| (617) 730-9400 | |
| Not Available |
| Full Name | Barbara Keezell, Pc |
|---|---|
| Speciality | Social Worker |
| Location | 1415 Beacon St, Brookline, Massachusetts |
| Authorized Official Name and Position | Barbara Keezell (PRESIDENT) |
| Authorized Official Contact | 6177309400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Barbara Keezell, Pc 1415 Beacon St Room 302 Brookline MA 02446-4816 Ph: (617) 730-9400 | Barbara Keezell, Pc 1415 Beacon St Room 302 Brookline MA 02446-4816 Ph: (617) 730-9400 |
| NPI Number | 1518012707 |
|---|---|
| Provider Enumeration Date | 01/25/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 0244398634 |
|---|---|
| Medicare Enrollment ID | O20081029000662 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518012707 | NPI | - | NPPES |
| PO3843 | Other | MA | BLUE CROSSBLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 105296 (Massachusetts) | Primary |
| Provider Name | Barbara Keezell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770638975 PECOS PAC ID: 1254499635 Enrollment ID: I20081029000641 |
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