| Alia Goodheart, MD | |
|
33 Nagog Park Ste 215, Acton, MA 01720-3427 | |
| (508) 834-3183 | |
| (508) 532-1168 |
| Full Name | Alia Goodheart |
|---|---|
| Gender | Female |
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 33 Nagog Park Ste 215, Acton, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134234198 | NPI | - | NPPES |
| J27753 | Other | MA | BCBS OF MASSACHUSETTS |
| 469246 | Other | MA | TUFTS |
| 2063981 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 220407 (Massachusetts) | Primary |
| Entity Name | The Mclean Hospital Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114979580 PECOS PAC ID: 9436040961 Enrollment ID: O20040323001228 |
| Entity Name | Melrosewakefield Healthcare, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841290467 PECOS PAC ID: 8224935838 Enrollment ID: O20040504000734 |
| Entity Name | Emerson Practice Associates, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508020199 PECOS PAC ID: 8123188117 Enrollment ID: O20081120000518 |
| Mailing Address | Practice Location Address |
|---|---|
| Alia Goodheart, MD 4 Garden Way, Maynard, MA 01754-1100 Ph: (617) 650-3324 | Alia Goodheart, MD 33 Nagog Park Ste 215, Acton, MA 01720-3427 Ph: (508) 834-3183 |
Dr. Derick E Vergne, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 179 Great Rd Ste 201, Acton, MA 01720 Phone: 857-239-1911 Fax: 617-544-0937 | |
Dr. Kenneth Minkoff, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 100 Powdermill Rd # 319, Acton, MA 01720 Phone: 978-502-1729 Fax: 415-455-8016 | |
Dr. Peter Joseph Musliner, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 518 Great Road, Acton, MA 01720 Phone: 978-263-4878 Fax: 978-635-0386 | |
Alison Mary Sheridan, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 518 Great Rd, Acton, MA 01720 Phone: 978-263-4878 Fax: 978-635-0386 | |
Dr. Eugene Victor Beresin, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 80 School St, Acton, MA 01720 Phone: 617-726-8471 | |
Devin Gibbs, Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 518 Great Rd, Acton, MA 01720 Phone: 978-263-4878 |