| Carbon Health Medical Group Of Massachusetts Pc | |
|
80 Summer St Ste 1 Boston MA 02110-1218 | |
| (617) 865-2749 | |
| Not Available |
| Full Name | Carbon Health Medical Group Of Massachusetts Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 80 Summer St Ste 1, Boston, Massachusetts |
| Authorized Official Name and Position | Kaitlin Boyle (DIRECTOR) |
| Authorized Official Contact | 3036015392 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Carbon Health Medical Group Of Massachusetts Pc 2100 Franklin St Ste 355 Oakland CA 94612-3140 Ph: (415) 446-1733 | Carbon Health Medical Group Of Massachusetts Pc 80 Summer St Ste 1 Boston MA 02110-1218 Ph: (617) 865-2749 |
| NPI Number | 1528836897 |
|---|---|
| Provider Enumeration Date | 12/18/2023 |
| Last Update Date | 07/16/2024 |
| Medicare PECOS PAC ID | 3971943606 |
|---|---|
| Medicare Enrollment ID | O20240429003006 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528836897 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Bonnie F Cohen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558357244 PECOS PAC ID: 3476513912 Enrollment ID: I20041019000078 |
| Provider Name | Emily K Chin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386724896 PECOS PAC ID: 9739188103 Enrollment ID: I20061212000499 |
| Provider Name | Elizabeth N Alt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356635916 PECOS PAC ID: 3476714155 Enrollment ID: I20131226001450 |
| Provider Name | Michael Richardson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124430160 PECOS PAC ID: 6901191675 Enrollment ID: I20170714000899 |
| Provider Name | Hilary Linihan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144619149 PECOS PAC ID: 2365767795 Enrollment ID: I20170826000181 |
| Provider Name | Peter Y Zhao |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427390756 PECOS PAC ID: 0840580122 Enrollment ID: I20190911000145 |
| Provider Name | Leigh Dobbs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073954376 PECOS PAC ID: 4587892773 Enrollment ID: I20221110000592 |
| Provider Name | Artem Gutmanovich |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154636777 PECOS PAC ID: 3779724687 Enrollment ID: I20231215001718 |
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