| Dr Joseph C Kvedar, MD | |
|
50 Staniford St, Suite 200, Boston, MA 02114-2517 | |
| (617) 726-2914 | |
| (617) 724-2135 |
| Full Name | Dr Joseph C Kvedar |
|---|---|
| Gender | Male |
| Speciality | Dermatology |
| Experience | 42 Years |
| Location | 50 Staniford St, 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 |
|---|---|---|---|
| 1043200223 | NPI | - | NPPES |
| 6179665 | Medicaid | MA | |
| 711334 | Other | MA | TUFTS HEALTH PLAN |
| J03392 | Other | MA | BCBS MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | 52777 (Massachusetts) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| North Shore Medical Center - | Salem, MA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Nantucket Cottage Hospital | 1759357601 | 76 |
| Massachusetts General Physicians Organization Inc | 2466365820 | 3204 |
| Entity Name | Massachusetts General Physicians Organization Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801874573 PECOS PAC ID: 2466365820 Enrollment ID: O20031111000434 |
| Entity Name | Nantucket Cottage Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447214622 PECOS PAC ID: 1759357601 Enrollment ID: O20050104000928 |
| Entity Name | The General Hospital Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023049236 PECOS PAC ID: 6507803806 Enrollment ID: O20080313000351 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Joseph C Kvedar, MD Po Box 9142, Charlestown, MA 02129-9142 Ph: (617) 724-0287 | Dr Joseph C Kvedar, MD 50 Staniford St, Suite 200, Boston, MA 02114-2517 Ph: (617) 726-2914 |
Erica Dommasch, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 330 Brookline Ave, Shapiro 2, Boston, MA 02215 Phone: 617-667-3753 | |
Anusha Mohan Kumar, MD Dermatology Medicare: May Accept Medicare Assignments Practice Location: 330 Brookline Ave, 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 | |
Bruna Galvao De Oliveira Wafae, MD, MMSC Dermatology Medicare: Not Enrolled in Medicare Practice Location: 330 Brookline Ave # 522, Boston, MA 02215 Phone: 667-617-5834 |