Dr Joannes M Grevelink, MD PHD | |
30 Lancaster Street, Suite 400, Boston, MA 02114 | |
(617) 722-4100 | |
(617) 227-1134 |
Full Name | Dr Joannes M Grevelink |
---|---|
Gender | Male |
Speciality | Dermatology |
Experience | 41 Years |
Location | 30 Lancaster Street, Boston, Massachusetts |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1538150982 | NPI | - | NPPES |
3057623 | Medicaid | MA | |
060705 | Other | MA | TUFTS HEALTH PLAN |
J08910 | Other | MA | BCBS MA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | 60705 (Massachusetts) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Boston Dermatology And Laser Center Llc | 0941271407 | 7 |
Entity Name | Boston Dermatology And Laser Center Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215963574 PECOS PAC ID: 0941271407 Enrollment ID: O20040805001451 |
Entity Name | Bd & L Provider Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629209234 PECOS PAC ID: 3375716772 Enrollment ID: O20111031000609 |
Mailing Address | Practice Location Address |
---|---|
Dr Joannes M Grevelink, MD PHD 30 Lancaster Street, Suite 400, Boston, MA 02114 Ph: (617) 722-4100 | Dr Joannes M Grevelink, MD PHD 30 Lancaster Street, Suite 400, Boston, MA 02114 Ph: (617) 722-4100 |
Erica Dommasch, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 330 Brookline Ave, Shapiro 2, Boston, MA 02215 Phone: 617-667-3753 | |
Dr. Chantal Louise Cotter, MB BCH BAO Dermatology Medicare: Not Enrolled in Medicare Practice Location: 300 Longwood Ave, Boston, MA 02115 Phone: 617-355-6117 | |
Dr. John J Croke, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 725 Albany St, Shapiro 8, Boston, MA 02118 Phone: 617-638-7420 Fax: 617-638-7289 | |
Dr. Debjani Sahni, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 725 Albany Street, Shapiro 8, Boston, MA 02118 Phone: 617-638-7420 Fax: 617-638-7289 | |
Dr. Joseph C Kvedar, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 50 Staniford St, Suite 200, Boston, MA 02114 Phone: 617-726-2914 Fax: 617-724-2135 | |
Ryan Char Kelm, Dermatology Medicare: Medicare Enrolled Practice Location: 50 Staniford St # 250, Boston, MA 02114 Phone: 617-724-6960 | |
Dr. David Attar Hashemi, MD, MBA Dermatology Medicare: Medicare Enrolled Practice Location: 50 Staniford St, Boston, MA 02114 Phone: 617-726-2914 |