| David I Krohn, MD | |
| 
					230 Worcester St, Internal Medicine, Wellesley, MA 02481-5420  | |
| (781) 431-5205 | |
| (781) 431-5465 | 
| Full Name | David I Krohn | 
|---|---|
| Gender | Male | 
| Speciality | Internal Medicine | 
| Location | 230 Worcester St, Wellesley, Massachusetts | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1689643298 | NPI | - | NPPES | 
| PV995 | Other | MA | HARVARD PILGRIM | 
| 714566 | Other | MA | TUFTS | 
| 2072726 | Medicaid | MA | |
| B51045 | Other | MA | BLUE CROSS | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207R00000X | Internal Medicine | 41934 (Massachusetts) | Primary | 
| Entity Name | Lakewood Resource And Referral Center Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1083748297 PECOS PAC ID: 6901981497 Enrollment ID: O20080307000331  | 
| Entity Name | Signify Health Medical Associates Of New Jersey Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1174187728 PECOS PAC ID: 4284966896 Enrollment ID: O20191031002559  | 
| Mailing Address | Practice Location Address | 
|---|---|
| David I Krohn, MD 147 Milk St, Provider Enrollment - 9th Floor, Boston, MA 02109-4806 Ph: (617) 559-8374  | David I Krohn, MD 230 Worcester St, Internal Medicine, Wellesley, MA 02481-5420 Ph: (781) 431-5205  | 
Deborah Hadley, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 195 Worcester St, Suite 102, Wellesley, MA 02481 Phone: 617-219-1510 Fax: 617-219-1512  | |
Dr. Burt Whitney Hall, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 65 Walnut St, Suite 590, Wellesley, MA 02481 Phone: 781-237-3395 Fax: 781-237-3397  | |
Ida P Gorenburg, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 230 Worcester St, Internal Medicine, Wellesley, MA 02481 Phone: 781-431-5220 Fax: 781-431-5526  | |
James S Sidel, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 4 Falmouth Rd, Wellesley, MA 02481 Phone: 781-237-3057  | |
David John Wenzel, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: Marino Center For Progressive Health, 372 Washington Street, Wellesley, MA 02481 Phone: 781-235-5200 Fax: 781-235-1103  | |
Charles C Pao, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 40 Walnut Street, Suite 102, Wellesley, MA 02481 Phone: 781-943-3000 Fax: 781-943-3037  | |
Dr. Natalie Penelopy Pauli, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Hollis St Ste 350, Wellesley, MA 02482 Phone: 781-519-6063 Fax: 781-627-3777  |