| Dr Loren David Walensky, MD PHD | |
|
44 Binney Street, Dana Farber Cancer Institute Dana 3 Jimmy Fund Clinic, Boston, MA 02115 | |
| (617) 632-6794 | |
| (617) 632-3310 |
| Full Name | Dr Loren David Walensky |
|---|---|
| Gender | Male |
| Speciality | Pediatrics - Pediatric Hematology-oncology |
| Location | 44 Binney Street, Boston, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508896853 | NPI | - | NPPES |
| 7493680 | Other | CIGNA | |
| 1160345 | Other | FALLON COMMUNITY HEALTH | |
| 2000971 | Medicaid | MA | |
| 204839 | Other | TUFTS | |
| 000000029367 | Other | BMC HEALTHNET | |
| J25849 | Other | MA | BLUE CROSS BLUE SHIELD OF |
| 206434 | Other | HPHC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2080P0207X | Pediatrics - Pediatric Hematology-oncology | 204839 (Massachusetts) | Primary |
| Entity Name | Dana-farber Cancer Institute, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851333686 PECOS PAC ID: 9133038904 Enrollment ID: O20040223000228 |
| Entity Name | Children's Hospital Pediatric Associates, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457306664 PECOS PAC ID: 3476541830 Enrollment ID: O20040504000964 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Loren David Walensky, MD PHD 44 Binney Street, D322a Dana Farber Cancer Institute, Boston, MA 02115 Ph: (617) 632-6307 | Dr Loren David Walensky, MD PHD 44 Binney Street, Dana Farber Cancer Institute Dana 3 Jimmy Fund Clinic, Boston, MA 02115 Ph: (617) 632-6794 |
Puja Banka, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 300 Longwood Ave, Bader 203, Boston, MA 02115 Phone: 617-355-6363 | |
Angela M. Jacques, MD Pediatrics Medicare: Medicare Enrolled Practice Location: Massachusetts General Hospital, 55 Fruit St., Boston, MA 02114 Phone: 617-726-2066 | |
Dr. Elizabeth S Taglauer, M.D., PH.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 300 Longwood Ave, Boston, MA 02115 Phone: 617-355-6000 | |
Cailyn Hereen Rood, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 300 Longwood Ave, Boston, MA 02115 Phone: 617-355-6000 | |
Dr. Alon Peltz, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 300 Longwood Ave, Boston, MA 02115 Phone: 617-355-6000 | |
Miki Nishitani, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 300 Longwood Ave, Boston, MA 02115 Phone: 617-355-6000 | |
Vickren Pillay, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 300 Longwood Ave, Boston, MA 02115 Phone: 617-355-6000 |