| Dr Jill Zimmer Simon, MD | |
| 2014 Washington St, Newton, MA 02462 | |
| (617) 243-6040 | |
| (617) 243-6924 | 
| Full Name | Dr Jill Zimmer Simon | 
|---|---|
| Gender | Female | 
| Speciality | Emergency Medicine - Pediatric Emergency Medicine | 
| Location | 2014 Washington St, Newton, Massachusetts | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1104887678 | NPI | - | NPPES | 
| 2091046 | Medicaid | MA | |
| J28383 | Other | BLUE SHIELD | |
| 469103 | Other | TUFTS | |
| AA39789 | Other | HARVARD PILGRIM | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207PP0204X | Emergency Medicine - Pediatric Emergency Medicine | 216446 (Massachusetts) | Primary | 
| Entity Name | Newton Wellesley Emergency Medicine Specialist Pc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1346355526 PECOS PAC ID: 7810983996 Enrollment ID: O20040423000237 | 
| Entity Name | Mass General Brigham Medical Group, Inc. | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1083360200 PECOS PAC ID: 3971987108 Enrollment ID: O20230925000368 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Jill Zimmer Simon, MD 4 Paul Revere Rd, Lexington, MA 02421 Ph: (781) 652-0090 | Dr Jill Zimmer Simon, MD 2014 Washington St, Newton, MA 02462 Ph: (617) 243-6040 | 
| Dr. Keenan Mahan, MD, MBA Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2014 Washington St, Newton, MA 02462 Phone: 617-243-6193 | |
| Mary Christine Bailey, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2014 Washington Street, Newton, MA 02462 Phone: 617-243-6040 Fax: 617-243-6924 | |
| David Hark, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2014 Washington St, Newton, MA 02462 Phone: 617-243-6192 | |
| Mark Robert Zonfrillo, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2014 Washington St, Newton, MA 02462 Phone: 617-243-6000 | |
| Andrew Woods Ames, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2014 Washington St, Newton, MA 02462 Phone: 617-243-6040 Fax: 617-243-6924 | |
| Lynanne Ballelli Morganstern, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: Mckesson Corporation, 275 Grove Street, Suite 1 - 110, Newton, MA 02466 Phone: 617-273-2966 |