Mr Manuel Fonseca, MSN, FNP-C | |
330 Brookline Ave, Boston, MA 02215-5400 | |
(617) 667-7000 | |
Not Available |
Full Name | Mr Manuel Fonseca |
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Gender | Male |
Speciality | Family Medicine |
Location | 330 Brookline Ave, Boston, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1184286122 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 11001507 (Florida) | Primary |
Entity Name | Beth Israel Deaconess Medical Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548202641 PECOS PAC ID: 8123936119 Enrollment ID: O20041001000827 |
Mailing Address | Practice Location Address |
---|---|
Mr Manuel Fonseca, MSN, FNP-C 11737 Anhinga Dr, Wellington, FL 33414-5807 Ph: (352) 215-1501 | Mr Manuel Fonseca, MSN, FNP-C 330 Brookline Ave, Boston, MA 02215-5400 Ph: (617) 667-7000 |
Lidya H Wlasiuk, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 850 Harrison Ave, Yacc 5, Boston, MA 02118 Phone: 617-414-2080 Fax: 617-414-2090 | |
Brian R Penti, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 850 Harrison Ave, Yacc 4, Boston, MA 02118 Phone: 617-414-2080 Fax: 617-414-2090 | |
Alysia L Green, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 915 Commonwealth Ave Rear, Boston, MA 02215 Phone: 617-358-3400 Fax: 617-358-3710 | |
Shahnaz Rahman, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 820 Harrison Ave, Boston, MA 02118 Phone: 404-259-4008 | |
Dr. Amy Min He, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 637 Washington St, Boston, MA 02124 Phone: 617-825-9660 | |
Katherine A Gergen Barnett, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 11 Melnea Cass Blvd, Boston, MA 02119 Phone: 617-414-2080 Fax: 617-414-2090 | |
Dr. Xiangxin Chen, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 145 South St, Boston, MA 02111 Phone: 617-482-7555 Fax: 617-482-2930 |