| Dr Lynne L Levitsky, MD | |
|
55 Fruit St, Yaw 6 Pediatric Endocrine Associates, Boston, MA 02114-2621 | |
| (617) 726-2909 | |
| (617) 724-0581 |
| Full Name | Dr Lynne L Levitsky |
|---|---|
| Gender | Female |
| Speciality | Pediatrics - Pediatric Endocrinology |
| Location | 55 Fruit St, 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 |
|---|---|---|---|
| 1164412896 | NPI | - | NPPES |
| 071822 | Other | MA | TUFTS HEALTH PLAN |
| 3057640 | Medicaid | MA | |
| J09202 | Other | MA | BCBS MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 71822 (Massachusetts) | Secondary |
| 2080P0205X | Pediatrics - Pediatric Endocrinology | 71822 (Massachusetts) | Primary |
| 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 | 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 Lynne L Levitsky, MD Po Box 9142, Mass General Physician Organization, Charlestown, MA 02129-9142 Ph: (617) 726-2909 | Dr Lynne L Levitsky, MD 55 Fruit St, Yaw 6 Pediatric Endocrine Associates, Boston, MA 02114-2621 Ph: (617) 726-2909 |
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 |