| Dr Keenan Mahan, MD, MBA | |
| 2014 Washington St, Newton, MA 02462-1607 | |
| (617) 243-6193 | |
| Not Available | 
| Full Name | Dr Keenan Mahan | 
|---|---|
| Gender | Male | 
| Speciality | 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 | 
|---|---|---|---|
| 1104387158 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207P00000X | Emergency Medicine | 290245 (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 Northern Massachusetts Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1588606123 PECOS PAC ID: 3577467224 Enrollment ID: O20050429000668 | 
| 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 Keenan Mahan, MD, MBA 2014 Washington St, Newton, MA 02462-1607 Ph: () - | Dr Keenan Mahan, MD, MBA 2014 Washington St, Newton, MA 02462-1607 Ph: (617) 243-6193 | 
| Dr. Jill Zimmer Simon, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2014 Washington St, Newton, MA 02462 Phone: 617-243-6040 Fax: 617-243-6924 | |
| 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 |