Cca Primary Care - Medicare Primary Care in Boston, MA

Cca Primary Care is a medicare enrolled primary clinic (Clinic/center - Primary Care) in Boston, Massachusetts. The current practice location for Cca Primary Care is 30 Northampton Street, Boston, Massachusetts. For appointments, you can reach them via phone at (617) 433-9601. The mailing address for Cca Primary Care is 30 Northampton Street, Boston, Massachusetts and phone number is (617) 433-9601.

Cca Primary Care is licensed to practice in Massachusetts (license number ). The clinic also participates in the medicare program and its NPI number is 1235174418. 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) 433-9601.

Contact Information

Cca Primary Care
30 Northampton Street
Boston
MA 02118
(617) 433-9601
(617) 445-6413

Map and Direction


Primary Care Clinic Profile

Full NameCca Primary Care
SpecialityClinic/Center
Location30 Northampton Street, Boston, Massachusetts
Authorized Official Name and PositionBiljana Simikic (ACTING MEDICAL DIRECTOR)
Authorized Official Contact6174339601
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Cca Primary Care
30 Northampton Street
Boston
MA 02118

Ph: (617) 433-9601
Cca Primary Care
30 Northampton Street
Boston
MA 02118

Ph: (617) 433-9601

NPI Details:

NPI Number1235174418
Provider Enumeration Date06/19/2006
Last Update Date09/22/2021

Medicare PECOS Information:

Medicare PECOS PAC ID1355390691
Medicare Enrollment IDO20050113000756

Medical Identifiers

Medical identifiers for Cca Primary Care such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1235174418NPI-NPPES
110071110AMedicaidMA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QP2300XClinic/center - Primary Care (Massachusetts)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Cca Primary Care acts as a billing entity for following providers:
Provider NameJohn Francis Loughnane
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1053327734
PECOS PAC ID: 0446143291
Enrollment ID: I20040205000206
Provider NameChristopher S Manasseh
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1407820673
PECOS PAC ID: 7113917634
Enrollment ID: I20040517000538
Provider NameMarc T Emmerich
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1033292636
PECOS PAC ID: 1456300177
Enrollment ID: I20050119000935
Provider NameRobert J Master
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1518048131
PECOS PAC ID: 7517916851
Enrollment ID: I20050125000468
Provider NameThomas W Barber
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1487627949
PECOS PAC ID: 2567409857
Enrollment ID: I20050408000128
Provider NameKamau Karanja
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1720147895
PECOS PAC ID: 7810928819
Enrollment ID: I20050830000416
Provider NameLorie Resendes Trainor
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1053419481
PECOS PAC ID: 8729008818
Enrollment ID: I20051205000679
Provider NameCamille F Balestri
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1487744124
PECOS PAC ID: 5496761371
Enrollment ID: I20060301000710
Provider NameSusan M Walsh
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1083675573
PECOS PAC ID: 4981647286
Enrollment ID: I20060407000504
Provider NameJodi L Osterhout Vanasse
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1881601037
PECOS PAC ID: 8224047972
Enrollment ID: I20060407000529
Provider NameJoanne Costantino
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1487613394
PECOS PAC ID: 4284644188
Enrollment ID: I20060421000196
Provider NameKim Zimmerman
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1700805173
PECOS PAC ID: 1153324447
Enrollment ID: I20060804000141
Provider NamePixie Plummer
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1972603793
PECOS PAC ID: 4486745445
Enrollment ID: I20070806000112
Provider NameEva H Chittenden
Provider TypePractitioner - Hospice/palliative Care
Provider IdentifiersNPI Number: 1093772758
PECOS PAC ID: 5395734412
Enrollment ID: I20080820000166
Provider NameGenta Baci
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1720260367
PECOS PAC ID: 0244307577
Enrollment ID: I20080929000070
Provider NameRebecca E Alexander
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1902000664
PECOS PAC ID: 1658433123
Enrollment ID: I20081217000176
Provider NameCary K Hardwick
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1730325309
PECOS PAC ID: 3577629328
Enrollment ID: I20090304000190
Provider NameNicole Angelique Lheureux
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1720128960
PECOS PAC ID: 9335185073
Enrollment ID: I20090828000142
Provider NameDeborah E Dreyfus
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1174563134
PECOS PAC ID: 9335294651
Enrollment ID: I20090909000591
Provider NamePatricia A Laforme
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1861726168
PECOS PAC ID: 2668510488
Enrollment ID: I20091114000034
Provider NameKim M Tremblay
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1265429229
PECOS PAC ID: 6406994219
Enrollment ID: I20091117000094
Provider NameSigrid K Bergenstein
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1659675437
PECOS PAC ID: 0244414464
Enrollment ID: I20110413000567
Provider NameSarah E Long
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1639364441
PECOS PAC ID: 0941375810
Enrollment ID: I20110518000388
Provider NameBiljana Simikic
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1669681995
PECOS PAC ID: 9638342447
Enrollment ID: I20111021000537
Provider NameVadra W Tabb
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1659442994
PECOS PAC ID: 2769655331
Enrollment ID: I20111026000398
Provider NameChristine M Cannon
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1750602785
PECOS PAC ID: 8022271295
Enrollment ID: I20120525000384
Provider NameMaryann Girardi
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1861778193
PECOS PAC ID: 1658528492
Enrollment ID: I20120829000562
Provider NameOluwatoyin Ajayi
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1790912426
PECOS PAC ID: 7517115298
Enrollment ID: I20120921000562
Provider NameBenjamin Weiss
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1316179450
PECOS PAC ID: 9931351244
Enrollment ID: I20121213000363
Provider NameTaryn F Mcgrath
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1760732820
PECOS PAC ID: 5092968636
Enrollment ID: I20130110000550
Provider NameMichael D Tenenbaum
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1477802205
PECOS PAC ID: 6800040890
Enrollment ID: I20130128000357
Provider NameMichelle L Piro
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1447224944
PECOS PAC ID: 5597700054
Enrollment ID: I20130129000437
Provider NameKatherine M Felicio
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1699055830
PECOS PAC ID: 6507038312
Enrollment ID: I20130306000237
Provider NameAlysa N Veidis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1770614943
PECOS PAC ID: 7618112178
Enrollment ID: I20130404000172
Provider NameSvetlana Borochin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1609128149
PECOS PAC ID: 8628217312
Enrollment ID: I20130610000083
Provider NameKeona D Lemons
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1811161458
PECOS PAC ID: 2961643432
Enrollment ID: I20130725000404
Provider NameJiyin Chou
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1689807786
PECOS PAC ID: 5092854869
Enrollment ID: I20131121000010
Provider NameKaren Lea Byrd
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1578547980
PECOS PAC ID: 4385779909
Enrollment ID: I20131231001842
Provider NameElizabeth M Cherella
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1962674507
PECOS PAC ID: 0840428884
Enrollment ID: I20140121000022
Provider NameErin C Cormier
Provider TypePractitioner - Other (non-physician)
Provider IdentifiersNPI Number: 1932448214
PECOS PAC ID: 4385873587
Enrollment ID: I20140211000970
Provider NameFranklin Erzuah
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1205262185
PECOS PAC ID: 7719118264
Enrollment ID: I20140326000068
Provider NameMericley M Santiago
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1770913410
PECOS PAC ID: 4284866393
Enrollment ID: I20140403001448
Provider NameEvelyne Malfroy-camine
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1730328477
PECOS PAC ID: 1951533512
Enrollment ID: I20140414000486
Provider NameAlexandra C Mccaffrey
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1194167825
PECOS PAC ID: 5890927206
Enrollment ID: I20140418000008
Provider NameVera B Belitsky
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1215367446
PECOS PAC ID: 0143453159
Enrollment ID: I20140428001758
Provider NameTheresa M Lovejoy
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1164605200
PECOS PAC ID: 0648493692
Enrollment ID: I20140521000907
Provider NameBrianna J Kiernan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1932532280
PECOS PAC ID: 1355567595
Enrollment ID: I20140724002240
Provider NameLourdnie C Cherisol
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1982030839
PECOS PAC ID: 1456448224
Enrollment ID: I20140801000042
Provider NameStacie H Selfridge
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1023438801
PECOS PAC ID: 0547489452
Enrollment ID: I20140908001748
Provider NameRayane Salerno
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1790100097
PECOS PAC ID: 9537380357
Enrollment ID: I20141021000547
Provider NameKerrilyn Pessin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1285023291
PECOS PAC ID: 1850619305
Enrollment ID: I20150413000916
Provider NameKassandra L Harwood
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1669612883
PECOS PAC ID: 2365753571
Enrollment ID: I20150615001395
Provider NameLinda K Medeiros
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1255540415
PECOS PAC ID: 6709199961
Enrollment ID: I20150716001408
Provider NameSally P Siu
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1255528162
PECOS PAC ID: 4082923743
Enrollment ID: I20151020000435
Provider NameDhruva Kothari
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1063771574
PECOS PAC ID: 6305149154
Enrollment ID: I20160128000890
Provider NameSwati J Patel
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1336317478
PECOS PAC ID: 2668631292
Enrollment ID: I20160218000576
Provider NameShaun L'esperance
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1386036457
PECOS PAC ID: 6002115409
Enrollment ID: I20160506001476
Provider NameThomas J Peteet
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1912267378
PECOS PAC ID: 8729210687
Enrollment ID: I20160914001793
Provider NameNicola C Tesorero
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1710345657
PECOS PAC ID: 6608156047
Enrollment ID: I20161201000701
Provider NameMichaela Anne Kaddy
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1992114458
PECOS PAC ID: 0648492975
Enrollment ID: I20161228001185
Provider NameSarah D Kaye
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1992259741
PECOS PAC ID: 6709167760
Enrollment ID: I20170105001078
Provider NameKimberly Suvak
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1649723131
PECOS PAC ID: 8123301082
Enrollment ID: I20170220001732
Provider NameEmily K Larkin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1184173569
PECOS PAC ID: 9032495734
Enrollment ID: I20170412000872
Provider NameKatherine M Antoniou
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1306217617
PECOS PAC ID: 2567749245
Enrollment ID: I20170505001337
Provider NameColleen M Hanlon
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1073932059
PECOS PAC ID: 8022380765
Enrollment ID: I20170816000361
Provider NameCaroline Berchuck
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1215349683
PECOS PAC ID: 6103192364
Enrollment ID: I20171017000457
Provider NameKimberly K Hartgrove
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1518385822
PECOS PAC ID: 8820356348
Enrollment ID: I20171211000818
Provider NamePatricia E Sullivan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1346442886
PECOS PAC ID: 8426350406
Enrollment ID: I20180103002078
Provider NameMichael Berdan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1295937795
PECOS PAC ID: 9234433673
Enrollment ID: I20180124000255
Provider NameCarinne M Callahan
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1194907287
PECOS PAC ID: 5991064669
Enrollment ID: I20180126000130
Provider NameMarisol Ramos
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1881113561
PECOS PAC ID: 1951661214
Enrollment ID: I20180205002646
Provider NameBenedicta W Kumahia
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1801098322
PECOS PAC ID: 2860794849
Enrollment ID: I20180219000039
Provider NameReyna Lounsbury
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1528252434
PECOS PAC ID: 8921361940
Enrollment ID: I20180404001157
Provider NameJames J Taylor
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1538441167
PECOS PAC ID: 8820351638
Enrollment ID: I20180409001902
Provider NameAlanna Daley
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1063825735
PECOS PAC ID: 4880988393
Enrollment ID: I20180411002200
Provider NameJustin E Vandenbosch
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1265972665
PECOS PAC ID: 3678837705
Enrollment ID: I20180426000274
Provider NameJennifer S Mcsheffrey
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1194227140
PECOS PAC ID: 0446501365
Enrollment ID: I20180914002554
Provider NameSasha Lee Ramos
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1548812506
PECOS PAC ID: 6608208319
Enrollment ID: I20191119001340
Provider NameCaitlin Angelena Bove
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1972957355
PECOS PAC ID: 8628363025
Enrollment ID: I20200107001516
Provider NameNicole Carville-autry
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1427239912
PECOS PAC ID: 2769803360
Enrollment ID: I20200608001733
Provider NameCatherine Jane Chambers
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1447339775
PECOS PAC ID: 4385749274
Enrollment ID: I20201007002106
Provider NameElizabeth Martell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1730676370
PECOS PAC ID: 3971923061
Enrollment ID: I20201012000037
Provider NameTracy Ellen Perkins
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1932682713
PECOS PAC ID: 2163832494
Enrollment ID: I20201027003461
Provider NameEunice D Jones
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1609492115
PECOS PAC ID: 5698186369
Enrollment ID: I20201201003141
Provider NameHelen Pang
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1851944805
PECOS PAC ID: 8921419532
Enrollment ID: I20201202001797
Provider NameKaitlyn Dawn Drenckpohl
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1457978389
PECOS PAC ID: 5799197158
Enrollment ID: I20201209002001
Provider NameVijay Kotecha
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1578982815
PECOS PAC ID: 9032401971
Enrollment ID: I20210731000238
Provider NameSupatchaya Tongtheng
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1093380446
PECOS PAC ID: 5991102188
Enrollment ID: I20211001000241
Provider NameKirsten De Leon
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1528640455
PECOS PAC ID: 4981002458
Enrollment ID: I20211013003419
Provider NameNicole C. Cousins
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1952853004
PECOS PAC ID: 7618364472
Enrollment ID: I20220425002312
Provider NameLucette C Teixeira
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1780251793
PECOS PAC ID: 8527445923
Enrollment ID: I20220524000266
Provider NameAndey Amata-kynvi
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1609406164
PECOS PAC ID: 6305225749
Enrollment ID: I20220615001989
Provider NameBernard Martin Abbot
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1861913188
PECOS PAC ID: 0941676464
Enrollment ID: I20221028002046
Provider NameLorimar Cruz
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1225762115
PECOS PAC ID: 0446620983
Enrollment ID: I20221228001234
Provider NameJessie M Fisher
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1306577663
PECOS PAC ID: 3779956669
Enrollment ID: I20230223001083
Provider NameKerry T Suvak
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1912650581
PECOS PAC ID: 6406220581
Enrollment ID: I20230314000836
Provider NameEmma Cope-flanagan
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1871104919
PECOS PAC ID: 3274990056
Enrollment ID: I20230609001531
Provider NameScott Anthony Olszewski
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1942489737
PECOS PAC ID: 4385098789
Enrollment ID: I20231003002011
Provider NameKen Ming Goon
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1326468083
PECOS PAC ID: 1850746272
Enrollment ID: I20231004003440
Provider NameIme Akpan-mahoney
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1952732547
PECOS PAC ID: 4981050184
Enrollment ID: I20231024003478
Provider NameJennifer Elizabeth Pinizzotto
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1669532479
PECOS PAC ID: 2860837820
Enrollment ID: I20240229001031
Provider NameKenneth Rupp
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1740724111
PECOS PAC ID: 3971949462
Enrollment ID: I20240306003467
Provider NameRachael Leah Simmons
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1548549512
PECOS PAC ID: 0749627073
Enrollment ID: I20240322001239
Provider NameMelinda B Chase
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1710280946
PECOS PAC ID: 1052581980
Enrollment ID: I20240416001152
Provider NameAdrienne T Senneville
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1588025258
PECOS PAC ID: 3476993957
Enrollment ID: I20240501000903
Provider NameMarlena Smith
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1497232763
PECOS PAC ID: 6103368964
Enrollment ID: I20240607001520

Reviews and Comments


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Rong J Guan, Md Llc
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Phone: 617-290-9881    Fax: 617-350-6555
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Medicare: Not Enrolled in Medicare
Practice Location: 500 Harrison Ave, Boston, MA 02118
Phone: 855-340-4663    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

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.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.