| Five Journeys, Pc | |
|
181 Wells Ave Suite 202 Newton MA 02459-3344 | |
| (617) 934-6400 | |
| (617) 934-6401 |
| Full Name | Five Journeys, Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 181 Wells Ave, Newton, Massachusetts |
| Authorized Official Name and Position | Edward Levitan (CEO) |
| Authorized Official Contact | 6179346400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Five Journeys, Pc 181 Wells Ave Suite 202 Newton MA 02459-3344 Ph: (617) 934-6400 | Five Journeys, Pc 181 Wells Ave Suite 202 Newton MA 02459-3344 Ph: (617) 934-6400 |
| NPI Number | 1558731711 |
|---|---|
| Provider Enumeration Date | 09/30/2015 |
| Last Update Date | 11/20/2015 |
| Medicare PECOS PAC ID | 5193020873 |
|---|---|
| Medicare Enrollment ID | O20160217001084 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558731711 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 222719 (Massachusetts) | Primary |
| 207VG0400X | Obstetrics & Gynecology - Gynecology | (* (Not Available)) | Secondary |
| Provider Name | Wendie M Trubow |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1730258237 PECOS PAC ID: 2466411764 Enrollment ID: I20041004000360 |
| Provider Name | Edward Levitan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740393222 PECOS PAC ID: 7012911241 Enrollment ID: I20060831000101 |
| Provider Name | Bernice Wong |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1265412076 PECOS PAC ID: 8820193287 Enrollment ID: I20070413000560 |
| Provider Name | Marianela Lavena |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760647770 PECOS PAC ID: 2769642172 Enrollment ID: I20171201000678 |
| Provider Name | Elizabeth Bowen Mitchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376669788 PECOS PAC ID: 9335233386 Enrollment ID: I20230711000346 |
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