| Dr Atlee Loughran, MD | |
| 
					75 Francis St, Boston, MA 02115-6110  | |
| (617) 732-5500 | |
| Not Available | 
| Full Name | Dr Atlee Loughran | 
|---|---|
| Gender | Female | 
| Speciality | Plastic Surgery | 
| Location | 75 Francis 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 | 
|---|---|---|---|
| 1093254617 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208600000X | Surgery | 1018704 (Massachusetts) | Secondary | 
| 208200000X | Plastic Surgery | 4301514289 (Michigan) | Primary | 
| Entity Name | Brigham & Womens Physicians Organization Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1033535497 PECOS PAC ID: 3870405988 Enrollment ID: O20150107001260  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Atlee Loughran, MD 1 Ford Pl Ste 3a, Detroit, MI 48202-3450 Ph: (313) 874-4806  | Dr Atlee Loughran, MD 75 Francis St, Boston, MA 02115-6110 Ph: (617) 732-5500  | 
Kevin Cheung, MD Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 330 Brookline Ave, Stoneman 10, Boston, MA 02215 Phone: 617-632-9839  | |
Jeffrey M Darrow, M.D. Plastic Surgery Medicare: Medicare Enrolled Practice Location: 170 Commonwealth Ave, Boston, MA 02116 Phone: 617-267-0710  | |
Daniel S. Roh, MD Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 725 Albany Street, Ste 3a, Shapiro Bldg., Boston, MA 02118 Phone: 617-638-8419 Fax: 617-414-0201  | |
Eugene Yoshio Fukudome, MD Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: Massachusetts General Hospital, 55 Fruit Street, Wacc 435, Boston, MA 02114 Phone: 617-726-2066  | |
Dr. Thomas C Cochran Jr., MD Plastic Surgery Medicare: Medicare Enrolled Practice Location: 170 Commonwealth Ave, Boston, MA 02116 Phone: 617-267-0710 Fax: 617-236-8704  | |
Dr. Jorge R Lujan Hernandez, M.D. Plastic Surgery Medicare: Medicare Enrolled Practice Location: 725 Albany Street, Fl 3 Ste 3, Shapiro Bldg., Boston, MA 02118 Phone: 617-638-8419 Fax: 617-414-0201  | |
Dr. Bernard Travis Lee, MD Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 110 Francis St, Lowry Suite 5a, Boston, MA 02215 Phone: 617-632-7835  |