| Christopher W Shanahan, MD, MPH | |
|
1575 Blue Hill Ave, Mattapan, MA 02126-2122 | |
| (617) 829-6006 | |
| (617) 296-5408 |
| Full Name | Christopher W Shanahan |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 38 Years |
| Location | 1575 Blue Hill Ave, Mattapan, Massachusetts |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730184854 | NPI | - | NPPES |
| 110050376A | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2083A0300X | Preventive Medicine - Addiction Medicine | 74099 (Massachusetts) | Secondary |
| 207R00000X | Internal Medicine | 74099 (Massachusetts) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Boston Medical Center | Boston, MA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mattapan Community Health Center, Inc. | 2062423866 | 20 |
| Entity Name | Evans Medical Foundation Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912954124 PECOS PAC ID: 7416946546 Enrollment ID: O20040512000397 |
| Entity Name | Savida Health, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316253875 PECOS PAC ID: 4082809967 Enrollment ID: O20101117001145 |
| Entity Name | Mattapan Community Health Center, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942869342 PECOS PAC ID: 2062423866 Enrollment ID: O20190617001304 |
| Mailing Address | Practice Location Address |
|---|---|
| Christopher W Shanahan, MD, MPH 801 Albany St Fl G, Boston, MA 02119-3791 Ph: () - | Christopher W Shanahan, MD, MPH 1575 Blue Hill Ave, Mattapan, MA 02126-2122 Ph: (617) 829-6006 |
Dr. Georgette Jeanty, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1525 Blue Hill Ave, First Floor, Mattapan, MA 02126 Phone: 617-298-0156 Fax: 617-296-2979 | |
Dr. Jean S.f. Bonnet, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 745 River St, Mattapan, MA 02126 Phone: 617-364-2588 | |
Dr. Jose D Cariz, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1575 Blue Hill Ave, Mattapan, MA 02126 Phone: 617-296-0061 | |
Irene Crofton, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1135 Morton St, Mattapan, MA 02126 Phone: 617-533-2400 Fax: 617-533-2478 | |
Dr. Reginald Andre Barnett, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 745 River St, Mattapan, MA 02126 Phone: 617-364-0222 Fax: 617-364-3470 | |
Cynthia L Boddie-willis, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1425 Blue Hill Ave, Mattapan, MA 02126 Phone: 617-898-9035 |