| Vikki Louise Noonan, DMD, DMSC | |
|
133 Brookline Ave, 6th Floor;harvard Vanguard Medical Assoc.;dept Of Path., Boston, MA 02215-3904 | |
| (617) 421-2844 | |
| (617) 421-2423 |
| Full Name | Vikki Louise Noonan |
|---|---|
| Gender | Female |
| Speciality | Dentist |
| Experience | 28 Years |
| Location | 133 Brookline Ave, Boston, Massachusetts |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619980745 | NPI | - | NPPES |
| 0203718 | Medicaid | MA | |
| AA27554 | Other | HARVARD PILGRIM | |
| X09107 | Other | BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0106X | Dentist - Oral And Maxillofacial Pathology | 19519 (Massachusetts) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Boston Medical Center | Boston, MA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Strata Pathology Services, Inc | 3779503560 | 14 |
| Trustees Of Boston University | 8921070822 | 42 |
| Entity Name | Trustees Of Boston University |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154331916 PECOS PAC ID: 8921070822 Enrollment ID: O20040811000400 |
| Entity Name | Strata Pathology Services, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215942933 PECOS PAC ID: 3779503560 Enrollment ID: O20051122000637 |
| Mailing Address | Practice Location Address |
|---|---|
| Vikki Louise Noonan, DMD, DMSC 133 Brookline Ave, 6th Floor;harvard Vanguard Medical Assoc.;dept Of Path., Boston, MA 02215-3904 Ph: (617) 421-2844 | Vikki Louise Noonan, DMD, DMSC 133 Brookline Ave, 6th Floor;harvard Vanguard Medical Assoc.;dept Of Path., Boston, MA 02215-3904 Ph: (617) 421-2844 |
Dr. Rocio Saavedra, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1 Kneeland St, Boston, MA 02111 Phone: 617-636-6971 | |
Armida Dano, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 635 Tremont St, Boston, MA 02118 Phone: 617-424-0606 | |
Dr. Jeffrey Brian Reardon, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 300 Longwood Ave # Hu226, Boston, MA 02115 Phone: 617-355-4426 | |
Jacob Fortenberry, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 635 Albany St, Boston, MA 02118 Phone: 601-278-0923 | |
Ahmad Muneer Ahmad Ismail, Dentist Medicare: Not Enrolled in Medicare Practice Location: 635 Albany Street, Boston, MA 02118 Phone: 617-358-8300 | |
Thitaya Chaiboonyarak, Dentist Medicare: Not Enrolled in Medicare Practice Location: 100 E Newton St, Boston, MA 02118 Phone: 617-358-8300 | |
Dr. Richard Rothstein, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 274 Newbury St, Boston, MA 02116 Phone: 617-262-0106 |