Children's Sports Medicine Foundation Inc. - Medicare Mental Health Clinic in Boston, MA

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Children's Sports Medicine Foundation Inc. is a medicare enrolled mental health clinic (Orthopaedic Surgery) in Boston, Massachusetts. The current practice location for Children's Sports Medicine Foundation Inc. is 319 Longwood Ave, Boston, Massachusetts. For appointments, you can reach them via phone at (617) 355-5971. The mailing address for Children's Sports Medicine Foundation Inc. is P.o. Box 3694, Boston, Massachusetts and phone number is (508) 946-1665.

Children's Sports Medicine Foundation Inc. is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1740216811. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (617) 355-5971.

Contact Information

Children's Sports Medicine Foundation Inc.
319 Longwood Ave
Boston
MA 02115-5728
(617) 355-5971
(617) 730-0178

Map and Direction


Mental Health Clinic Profile

Full NameChildren's Sports Medicine Foundation Inc.
SpecialityOrthopaedic Surgery
Location319 Longwood Ave, Boston, Massachusetts
Authorized Official Name and PositionMininder S Kocher (DIRECTOR)
Authorized Official Contact6173556021
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Children's Sports Medicine Foundation Inc.
P.o. Box 3694
Boston
MA 02115

Ph: (508) 946-1665		Children's Sports Medicine Foundation Inc.
319 Longwood Ave
Boston
MA 02115-5728

Ph: (617) 355-5971

NPI Details:

NPI Number1740216811
Provider Enumeration Date06/23/2006
Last Update Date09/26/2022
Certification Date09/26/2022

Medicare PECOS Information:

Medicare PECOS PAC ID7719901198
Medicare Enrollment IDO20060125000006

Medical Identifiers

Medical identifiers for Children's Sports Medicine Foundation Inc. such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1740216811NPI-NPPES
9782621MedicaidMA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical (* (Not Available))Secondary
207PS0010XEmergency Medicine - Sports Medicine (* (Not Available))Secondary
207X00000XOrthopaedic Surgery (* (Not Available))Primary
207XX0005XOrthopaedic Surgery - Sports Medicine (* (Not Available))Secondary
2080S0010XPediatrics - Sports Medicine (* (Not Available))Secondary
213E00000XPodiatrist (* (Not Available))Secondary
213ES0000XPodiatrist - Sports Medicine (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Children's Sports Medicine Foundation Inc. acts as a billing entity for following providers:
Provider NameThomas W Vorderer
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1801829122
PECOS PAC ID: 9830094937
Enrollment ID: I20031203000070
Provider NameDonald S Bae
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1831154111
PECOS PAC ID: 1658341524
Enrollment ID: I20040728000874
Provider NameAndrea Stracciolini
Provider TypePractitioner - Sports Medicine
Provider IdentifiersNPI Number: 1982642559
PECOS PAC ID: 0345215562
Enrollment ID: I20040831001325
Provider NameMichael J O Brien
Provider TypePractitioner - Sports Medicine
Provider IdentifiersNPI Number: 1952335606
PECOS PAC ID: 9234185497
Enrollment ID: I20050330000961
Provider NameMaria E Walazek
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1023220480
PECOS PAC ID: 9032155957
Enrollment ID: I20050630000849
Provider NameLyle J Micheli
Provider TypePractitioner - Sports Medicine
Provider IdentifiersNPI Number: 1346273687
PECOS PAC ID: 2961435144
Enrollment ID: I20050917000145
Provider NameKatherine L Wilson
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1780751396
PECOS PAC ID: 8022034966
Enrollment ID: I20051019001036
Provider NameEllen T Geminiani
Provider TypePractitioner - Sports Medicine
Provider IdentifiersNPI Number: 1457312472
PECOS PAC ID: 3476568890
Enrollment ID: I20060207000207
Provider NameCynthia J Stein
Provider TypePractitioner - Sports Medicine
Provider IdentifiersNPI Number: 1255378899
PECOS PAC ID: 5193730539
Enrollment ID: I20060207000443
Provider NameThanh L Dinh
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1972550440
PECOS PAC ID: 7214946078
Enrollment ID: I20060406000437
Provider NameGianmichel David Corrado
Provider TypePractitioner - Sports Medicine
Provider IdentifiersNPI Number: 1316020712
PECOS PAC ID: 9537184734
Enrollment ID: I20061106000395
Provider NameWilliam P Meehan
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1558304584
PECOS PAC ID: 7618068941
Enrollment ID: I20070801000201
Provider NameDennis E Kramer
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1770541690
PECOS PAC ID: 0941391049
Enrollment ID: I20070803000188
Provider NameMartha M Murray
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1538197694
PECOS PAC ID: 4385735497
Enrollment ID: I20070803000211
Provider NameMininder S Kocher
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1164451597
PECOS PAC ID: 2163437054
Enrollment ID: I20080618000759
Provider NamePierre A Dhemecourt
Provider TypePractitioner - Sports Medicine
Provider IdentifiersNPI Number: 1124054770
PECOS PAC ID: 8527073410
Enrollment ID: I20080624000633
Provider NameYi Meng Yen
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1881707974
PECOS PAC ID: 1355445966
Enrollment ID: I20081006000606
Provider NameKathryn E Ackerman
Provider TypePractitioner - Sports Medicine
Provider IdentifiersNPI Number: 1124046644
PECOS PAC ID: 5698838613
Enrollment ID: I20090116000136
Provider NameStefanie R Hartman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1407002975
PECOS PAC ID: 1951458074
Enrollment ID: I20090407000430
Provider NameBenton E Heyworth
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1306057674
PECOS PAC ID: 1355495391
Enrollment ID: I20090811000178
Provider NameBridget Quinn
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1104004761
PECOS PAC ID: 9335285535
Enrollment ID: I20091001000126
Provider NameCarl Gustafson
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1225119597
PECOS PAC ID: 5092786525
Enrollment ID: I20120104000671
Provider NameMichael A Beasley
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1407183353
PECOS PAC ID: 2466585617
Enrollment ID: I20121005000703
Provider NameEmily F Pluhar
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1265674816
PECOS PAC ID: 2567513344
Enrollment ID: I20121203000064
Provider NameJoana L Fraser
Provider TypePractitioner - Sports Medicine
Provider IdentifiersNPI Number: 1801113220
PECOS PAC ID: 2567698558
Enrollment ID: I20131121001244
Provider NameColleen E Feeney
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1871809905
PECOS PAC ID: 4486972098
Enrollment ID: I20150410001710
Provider NameAdam S Tenforde
Provider TypePractitioner - Sports Medicine
Provider IdentifiersNPI Number: 1184996357
PECOS PAC ID: 2567680879
Enrollment ID: I20151106000178
Provider NameSarah S Jackson
Provider TypePractitioner - Sports Medicine
Provider IdentifiersNPI Number: 1356603799
PECOS PAC ID: 4880847953
Enrollment ID: I20160726001630
Provider NameJulie Han
Provider TypePractitioner - Sports Medicine
Provider IdentifiersNPI Number: 1912240730
PECOS PAC ID: 5193969897
Enrollment ID: I20170814001719
Provider NameKristin E Whitney
Provider TypePractitioner - Sports Medicine
Provider IdentifiersNPI Number: 1467870097
PECOS PAC ID: 4981823002
Enrollment ID: I20170831002064
Provider NameMatthew D Milewski
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1184808131
PECOS PAC ID: 0648427930
Enrollment ID: I20171219002238
Provider NameNicole M Farnsworth
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1861982969
PECOS PAC ID: 7810246204
Enrollment ID: I20180817001674
Provider NameGenna S Patacchiola
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1770063430
PECOS PAC ID: 6901157007
Enrollment ID: I20181001000587
Provider NameMary Elizabeth Dubon
Provider TypePractitioner - Physical Medicine And Rehabilitation
Provider IdentifiersNPI Number: 1851682991
PECOS PAC ID: 5597077032
Enrollment ID: I20181015002190
Provider NameMelissa A Christino
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1326200858
PECOS PAC ID: 6608015052
Enrollment ID: I20181126001571
Provider NameJacob Creed Jones
Provider TypePractitioner - Sports Medicine
Provider IdentifiersNPI Number: 1912391152
PECOS PAC ID: 2163765231
Enrollment ID: I20190514001106
Provider NameKimberly Obrien
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1275694309
PECOS PAC ID: 7911339759
Enrollment ID: I20191115000768
Provider NameJacqueline Hastings
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1386014173
PECOS PAC ID: 5193154417
Enrollment ID: I20200407001804
Provider NameHung M Le
Provider TypePractitioner - Sports Medicine
Provider IdentifiersNPI Number: 1588045090
PECOS PAC ID: 5092022137
Enrollment ID: I20200511000895
Provider NameRobin Amylon
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1144853979
PECOS PAC ID: 0345668711
Enrollment ID: I20200916002759
Provider NameHeather L Southwick
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1497965719
PECOS PAC ID: 0840602199
Enrollment ID: I20201210002303
Provider NameMiriam Rowan
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1649728973
PECOS PAC ID: 0143620047
Enrollment ID: I20210615001468
Provider NameSonia Ruparell
Provider TypePractitioner - Sports Medicine
Provider IdentifiersNPI Number: 1518491638
PECOS PAC ID: 8921402363
Enrollment ID: I20210809000426
Provider NameBridgid Maeve Obrien
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1760066013
PECOS PAC ID: 6204230329
Enrollment ID: I20210811000708
Provider NameAristides Cruz
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1568646800
PECOS PAC ID: 5597938407
Enrollment ID: I20220323002109
Provider NameMayela B Leal Chanchi
Provider TypePractitioner - Sports Medicine
Provider IdentifiersNPI Number: 1740785005
PECOS PAC ID: 2668850330
Enrollment ID: I20220608002065
Provider NameBreann Kathleen Tisano
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1740712579
PECOS PAC ID: 2567842347
Enrollment ID: I20220711002543
Provider NamePhilip Montana
Provider TypePractitioner - Sports Medicine
Provider IdentifiersNPI Number: 1699269670
PECOS PAC ID: 5597166728
Enrollment ID: I20220812001116
Provider NameRebecca Marie Toutant
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1235379397
PECOS PAC ID: 3274918180
Enrollment ID: I20220913003001
Provider NameKerri Ann Williams Regan
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1588041305
PECOS PAC ID: 2668849670
Enrollment ID: I20221122002276
Provider NameKristen Combs
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1639676968
PECOS PAC ID: 7618334418
Enrollment ID: I20230609002587
Provider NameAdam Nasreddine
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1710476338
PECOS PAC ID: 3577819044
Enrollment ID: I20230612000790
Provider NameElise C Bixby
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1801327655
PECOS PAC ID: 0840670733
Enrollment ID: I20230612002025
Provider NameJeffrey Lo
Provider TypePractitioner - Sports Medicine
Provider IdentifiersNPI Number: 1730506999
PECOS PAC ID: 8527360858
Enrollment ID: I20230808003488
Provider NamePeter K Kriz
Provider TypePractitioner - Sports Medicine
Provider IdentifiersNPI Number: 1881681310
PECOS PAC ID: 1759328636
Enrollment ID: I20230829001991
Provider NameStacey Schley
Provider TypePractitioner - Sports Medicine
Provider IdentifiersNPI Number: 1518464494
PECOS PAC ID: 4385991587
Enrollment ID: I20230923000752

Reviews and Comments

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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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