| Dr Eileen Jan Wong, MD | |
|
180 Morton St, 4north, Jamaica Plain, MA 02130-3735 | |
| (617) 626-9367 | |
| (617) 626-9578 |
| Full Name | Dr Eileen Jan Wong |
|---|---|
| Gender | Female |
| Speciality | Psychiatry |
| Experience | 37 Years |
| Location | 180 Morton St, Jamaica Plain, Massachusetts |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528159332 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 2084P0800X (Massachusetts) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Oasis Behavioral Health Center Llc | 8426485251 | 3 |
| The Commonwealth Of Massachusetts | 8820906860 | 127 |
| Entity Name | The Commonwealth Of Massachusetts |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871680496 PECOS PAC ID: 8820906860 Enrollment ID: O20060407000500 |
| Entity Name | Oasis Behavioral Health Center Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639436918 PECOS PAC ID: 8426485251 Enrollment ID: O20200217002627 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Eileen Jan Wong, MD 180 Morton St, 4north, Jamaica Plain, MA 02130-3735 Ph: (617) 626-9367 | Dr Eileen Jan Wong, MD 180 Morton St, 4north, Jamaica Plain, MA 02130-3735 Ph: (617) 626-9367 |
David Macmillan, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 170 Morton St, Jamaica Plain, MA 02130 Phone: 617-522-8110 Fax: 617-971-3852 | |
Dr. Bennett Simon, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 44b Burroughs St, Jamaica Plain, MA 02130 Phone: 617-983-8733 Fax: 617-983-1877 | |
Barbara Maxwell, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: Lemuel Shattuock Hospital, 170 Morton Street, Jamaica Plain, MA 02130 Phone: 617-522-8110 | |
Dr. Kenneth C Potts, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1153 Centre St, Jamaica Plain, MA 02130 Phone: 617-983-7926 Fax: 617-983-7455 | |
Dr. Mark Stephen Bauer, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 150 S Huntington Ave, Va Boston Healthcare System - 152m, Jamaica Plain, MA 02130 Phone: 857-364-6380 Fax: 857-364-6140 | |
Carlee A Blamphin, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1153 Centre Street, Faulkner Hospital/psychiatry, Jamaica Plain, MA 02130 Phone: 617-489-1117 | |
Martha Cesena, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 3 Dunning Way, No. 97, Jamaica Plain, MA 02130 Phone: 617-522-0059 |