| 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 |
| Experience | 6 Years |
| Location | 2014 Washington St, Newton, 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 |
|---|---|---|---|
| 1104387158 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 290245 (Massachusetts) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| North Shore Medical Center - | Salem, MA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mass General Brigham Medical Group Northern Massachusetts Inc | 3577467224 | 552 |
| 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: Medicare Enrolled Practice Location: 2014 Washington St, Newton, MA 02462 Phone: 617-243-6192 | |
Mark Robert Zonfrillo, MD Emergency Medicine Medicare: May Accept Medicare Assignments Practice Location: 2014 Washington St, Newton, MA 02462 Phone: 617-243-6000 | |
Andrew Woods Ames, MD Emergency Medicine Medicare: Medicare Enrolled 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 |