| Dr Kenneth Gershengorn, MD | |
|
1101 Beacon St., Brookline, MA 02446-5587 | |
| (617) 738-1961 | |
| (617) 734-2348 |
| Full Name | Dr Kenneth Gershengorn |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine - Cardiovascular Disease |
| Location | 1101 Beacon St., Brookline, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194766634 | NPI | - | NPPES |
| 2027208 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RC0000X | Internal Medicine - Cardiovascular Disease | 33105 (Massachusetts) | Primary |
| Entity Name | Medical Care Of Boston Management Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437196359 PECOS PAC ID: 6800787714 Enrollment ID: O20040322000778 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kenneth Gershengorn, MD 1101 Beacon St., Brookline, MA 02446-5587 Ph: (617) 738-1961 | Dr Kenneth Gershengorn, MD 1101 Beacon St., Brookline, MA 02446-5587 Ph: (617) 738-1961 |
Elliot Israel, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 111 Cypress St, Brookline, MA 02445 Phone: 857-307-0896 | |
Sandra R Richman, M.D. Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 150 Saint Paul St Apt 301, Brookline, MA 02446 Phone: 617-277-5302 | |
David A Walton, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: Brigham And Women's Hospital, 111 Cypress Street, Brookline, MA 02445 Phone: 617-582-1192 | |
Dr. Doreen F Matteson, M.D. Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 48 Kent St, Suite 8, Brookline, MA 02445 Phone: 617-731-0641 | |
Charles Myron Blatt, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 21 Longwood Ave, Lown Cardiovascular Group, Brookline, MA 02446 Phone: 617-732-1318 | |
Amnon Wachman, MD Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 1101 Beacon St, Brookline, MA 02446 Phone: 617-232-3464 | |
Dr. Hua Ann Jenny Lu, MD PHD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1180 Beacon St Ste 4a, Brookline, MA 02446 Phone: 617-934-8493 Fax: 617-344-3562 |