| Charles M Roberts, MD PHD | |
|
44 Binney St, M657, Dana Farber Cancer Institute, Boston, MA 02115 | |
| (617) 632-5297 | |
| (617) 632-6845 |
| Full Name | Charles M Roberts |
|---|---|
| Gender | Male |
| Speciality | Pediatrics - Pediatric Hematology-oncology |
| Location | 44 Binney St, 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 |
|---|---|---|---|
| 1649239849 | NPI | - | NPPES |
| 206814 | Other | HPHC DFCI ONLY | |
| 000000025974 | Other | BMC HEALTHNET | |
| 771511 | Other | TUFTS | |
| 3205932 | Other | MASS HEALTH | |
| 2938399 | Other | AETNA US HEALTHCARE | |
| 60716 | Other | FALLON COMMUNITY HEALTH | |
| 1996161 | Other | CIGNA | |
| J22083 | Other | MA | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2080P0207X | Pediatrics - Pediatric Hematology-oncology | 154610 (Massachusetts) | Primary |
| Entity Name | St Jude Childrens Research Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306335088 PECOS PAC ID: 7315133444 Enrollment ID: O20180821000139 |
| Mailing Address | Practice Location Address |
|---|---|
| Charles M Roberts, MD PHD 44 Binney St, M657, Dana Farber Cancer Institute, Boston, MA 02115 Ph: (617) 632-5297 | Charles M Roberts, MD PHD 44 Binney St, M657, Dana Farber Cancer Institute, Boston, MA 02115 Ph: (617) 632-5297 |
Puja Banka, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 300 Longwood Ave, Bader 203, Boston, MA 02115 Phone: 617-355-6363 | |
Angela M. Jacques, MD Pediatrics Medicare: Medicare Enrolled Practice Location: Massachusetts General Hospital, 55 Fruit St., Boston, MA 02114 Phone: 617-726-2066 | |
Dr. Elizabeth S Taglauer, M.D., PH.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 300 Longwood Ave, Boston, MA 02115 Phone: 617-355-6000 | |
Cailyn Hereen Rood, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 300 Longwood Ave, Boston, MA 02115 Phone: 617-355-6000 | |
Dr. Alon Peltz, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 300 Longwood Ave, Boston, MA 02115 Phone: 617-355-6000 | |
Miki Nishitani, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 300 Longwood Ave, Boston, MA 02115 Phone: 617-355-6000 | |
Vickren Pillay, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 300 Longwood Ave, Boston, MA 02115 Phone: 617-355-6000 |