Alysia L Green, MD | |
915 Commonwealth Ave Rear, Boston, MA 02215-1394 | |
(617) 358-3400 | |
(617) 358-3710 |
Full Name | Alysia L Green |
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Gender | Female |
Speciality | Family Medicine - Sports Medicine |
Location | 915 Commonwealth Ave Rear, 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 |
---|---|---|---|
1013124296 | NPI | - | NPPES |
110076162A | Medicaid | MA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207QS0010X | Family Medicine - Sports Medicine | 232853 (Massachusetts) | Primary |
Entity Name | Dothouse Health Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578514733 PECOS PAC ID: 8729991021 Enrollment ID: O20031112000264 |
Entity Name | South Boston Community Health Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669447413 PECOS PAC ID: 2062487291 Enrollment ID: O20040831000673 |
Mailing Address | Practice Location Address |
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Alysia L Green, MD 801 Albany St, Fl G, Boston, MA 02119-3791 Ph: (617) 414-6034 | Alysia L Green, MD 915 Commonwealth Ave Rear, Boston, MA 02215-1394 Ph: (617) 358-3400 |
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 | |
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 |