| Boris Gershman, MD | |
|
195 Collyer St, Suite 201, Providence, RI 02904-1869 | |
| (401) 272-7799 | |
| (401) 453-9078 |
| Full Name | Boris Gershman |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 17 Years |
| Location | 195 Collyer St, Providence, Rhode Island |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013177518 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | MD15411 (Rhode Island) | Primary |
| 208800000X | Urology | 246602 (Massachusetts) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Beth Israel Deaconess Medical Center | Boston, MA | Hospital |
| Beth Israel Deaconess Hospital - Needham | Needham, MA | Hospital |
| Beth Israel Deaconess Hospital Plymouth | Plymouth, MA | Hospital |
| Beth Israel Deaconess Hospital - Milton | Milton, MA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Harvard Medical Faculty Phys At Beth Israel Deaconess Med Ctr Inc | 4486567104 | 1474 |
| Entity Name | Harvard Medical Faculty Phys At Beth Israel Deaconess Med Ctr Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720037385 PECOS PAC ID: 4486567104 Enrollment ID: O20031203000426 |
| Entity Name | Beth Israel Deaconess Medical Center Inc |
|---|---|
| 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 |
|---|---|
| Boris Gershman, MD 195 Collyer St, Suite 201, Providence, RI 02904-1869 Ph: (401) 272-7799 | Boris Gershman, MD 195 Collyer St, Suite 201, Providence, RI 02904-1869 Ph: (401) 272-7799 |
Daniel Isaac Sanford, MD Urology Medicare: Medicare Enrolled Practice Location: 593 Eddy St, Providence, RI 02903 Phone: 401-444-5795 | |
Simone Thavaseelan, Urology Medicare: Accepting Medicare Assignments Practice Location: 2 Dudley St Ste 185, Providence, RI 02905 Phone: 401-444-5795 | |
Prof. Stephen N. Rous, M.D. Urology Medicare: Medicare Enrolled Practice Location: 830 Chalkstone Ave, Providence, RI 02908 Phone: 401-273-7100 | |
Mark Sigman, MD Urology Medicare: Medicare Enrolled Practice Location: 2 Dudley St, Suite 185, Providence, RI 02905 Phone: 401-421-0710 Fax: 401-421-0796 | |
Harry Michael Iannotti, MD Urology Medicare: Medicare Enrolled Practice Location: 1165 N Main St, Ste. 200, Providence, RI 02904 Phone: 401-521-4333 Fax: 401-521-4377 | |
Dr. Barry Stephen Stein, MD Urology Medicare: Medicare Enrolled Practice Location: 2 Dudley St, Suite 174, Providence, RI 02905 Phone: 401-444-8577 |