| Personal Physicians Healthcare Pc | |
|
1244 Boylston St Suite 306 Chestnut Hill MA 02467-2116 | |
| (617) 731-0058 | |
| (617) 731-0825 |
| Full Name | Personal Physicians Healthcare Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1244 Boylston St, Chestnut Hill, Massachusetts |
| Authorized Official Name and Position | Julie K Pivor (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6177310058 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Personal Physicians Healthcare Pc 1244 Boylston St Suite 306 Chestnut Hill MA 02467-2116 Ph: (617) 731-0058 | Personal Physicians Healthcare Pc 1244 Boylston St Suite 306 Chestnut Hill MA 02467-2116 Ph: (617) 731-0058 |
| NPI Number | 1942405782 |
|---|---|
| Provider Enumeration Date | 06/20/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 7012988264 |
|---|---|
| Medicare Enrollment ID | O20040803000356 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942405782 | NPI | - | NPPES |
| M17961 | Other | MA | BCBS |
| 1013905751 | Other | MA | DR STEVEN R FLIER NPI |
| 1699763482 | Other | MA | DR CORLISS INDIV NPI |
| 688727 | Other | MA | TUFTS |
| 1033158563 | Other | MA | DR BUSCH INDIV NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Jordan S Busch |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033158563 PECOS PAC ID: 0547231797 Enrollment ID: I20050406000614 |
| Provider Name | Steven R Flier |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013905751 PECOS PAC ID: 8628049871 Enrollment ID: I20050819000130 |
| Provider Name | James L Levine |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396850350 PECOS PAC ID: 9638267800 Enrollment ID: I20071124000002 |
| Provider Name | Martha C Wu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912954702 PECOS PAC ID: 2365530532 Enrollment ID: I20071124000005 |
| Provider Name | Nancy Corliss |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699763482 PECOS PAC ID: 8921275249 Enrollment ID: I20120126000744 |
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