| Fenway South End | |
|
142 Berkeley St Boston MA 02116-5100 | |
| (617) 247-7555 | |
| Not Available |
| Full Name | Fenway South End |
|---|---|
| Speciality | Clinic/Center |
| Location | 142 Berkeley St, Boston, Massachusetts |
| Authorized Official Name and Position | Jeffrey M Lieberman (VP FINANCE & ADMINISTRATION) |
| Authorized Official Contact | 6179276173 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fenway South End 1340 Boylston St Boston MA 02215-4302 Ph: (617) 927-6073 | Fenway South End 142 Berkeley St Boston MA 02116-5100 Ph: (617) 247-7555 |
| NPI Number | 1982995197 |
|---|---|
| Provider Enumeration Date | 04/21/2011 |
| Last Update Date | 07/08/2011 |
| Medicare PECOS PAC ID | 0941299655 |
|---|---|
| Medicare Enrollment ID | O20110711000045 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982995197 | NPI | - | NPPES |
| 110020739D | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | 4519 (Massachusetts) | Primary |
Rong J Guan, Md Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 30 Kneeland St Fl 5, Boston, MA 02111 Phone: 617-290-9881 Fax: 617-350-6555 | |
Fenway Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1340 Boylston St, Boston, MA 02215 Phone: 617-927-4880 | |
Robert H. Wu. Md, Pc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 65 Harrison Ave Ste 308, Boston, MA 02111 Phone: 617-338-9889 | |
Barbara Mcinnis House Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 780 Albany St, Boston, MA 02118 Phone: 857-654-1000 Fax: 857-654-1100 | |
Pratt Medical Group, Inc - Gastroenterology Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 800 Washington St, Box 1013, Boston, MA 02111 Phone: 617-636-5000 | |
Pjtrains Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 14 Newbury St Ste 4, Boston, MA 02116 Phone: 857-205-2759 | |
Mhg Physician Services - Michigan Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 500 Harrison Ave, Boston, MA 02118 Phone: 855-340-4663 |