| Dr Donna Khodarahmi Wren, MD | |
|
81 Highland Ave, North Shore Medical Center, Salem, MA 01970-2714 | |
| (978) 354-2815 | |
| (978) 740-4702 |
| Full Name | Dr Donna Khodarahmi Wren |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 81 Highland Ave, Salem, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376533539 | NPI | - | NPPES |
| 3175812 | Medicaid | MA | |
| J18640 | Other | MA | BCBS MA |
| 153785 | Other | MA | TUFTS HEALTH PLAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 153785 (Massachusetts) | Primary |
| Entity Name | Mt Auburn Professional Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992750996 PECOS PAC ID: 6103725031 Enrollment ID: O20040527001374 |
| Entity Name | Emerson Practice Associates, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508020199 PECOS PAC ID: 8123188117 Enrollment ID: O20081120000518 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Donna Khodarahmi Wren, MD Po Box 9142, Mass General Physician Organization, Charlestown, MA 02129-9142 Ph: (617) 724-0287 | Dr Donna Khodarahmi Wren, MD 81 Highland Ave, North Shore Medical Center, Salem, MA 01970-2714 Ph: (978) 354-2815 |
Linda J Morgan, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 57 Highlands Ave, Er, Salem, MA 01970 Phone: 978-354-2815 Fax: 978-744-9247 | |
Jean L Sheeley, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 72 Highland Ave, Salem, MA 01970 Phone: 978-745-3050 Fax: 978-744-9594 | |
Dr. Donald T Mcauliffe, MD Pediatrics Medicare: May Accept Medicare Assignments Practice Location: 72 Highland Avenue, Pediatric Associates Of Greater Salem, Salem, MA 01970 Phone: 978-445-3050 Fax: 978-744-9594 | |
Dr. Cheryl M D Souza, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 72 Highland Ave, Pediatric Associates Of Greater Salem, Salem, MA 01970 Phone: 978-745-3050 Fax: 978-744-9594 | |
Dr. Jocelyn Sicat, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 72 Highland Ave, Salem, MA 01970 Phone: 978-745-3050 | |
Andrea P Tish, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 57 Highland Ave, Er, Salem, MA 01970 Phone: 978-354-2815 Fax: 978-744-9247 |