| Dr Mairead Rynn Wilson, MD | |
|
55 Fogg Rd, S Weymouth, MA 02190-2432 | |
| (781) 624-8000 | |
| Not Available |
| Full Name | Dr Mairead Rynn Wilson |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 55 Fogg Rd, S Weymouth, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417116054 | NPI | - | NPPES |
| 04-2297845 | Other | TRICARE | |
| AA436677 | Other | MA | HARVARD PILGRIM |
| 3975418 | Other | CIGNA | |
| 1417116054 | Other | MA | NEIGHBORHOOD HEALTH PLAN |
| 04-2297845 | Other | UNITED HEALTH CARE | |
| 04-2297845 | Other | MULTI-PLAN | |
| 9984652 | Other | AETNA | |
| J48728 | Other | MA | BCBSMA |
| 1417116054 | Other | FALLON COMMUNITY HEALTH PLAN | |
| 04-2297845 | Other | HCVM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 246120 (Massachusetts) | Primary |
| 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 Mairead Rynn Wilson, MD 300 Longwood Ave, Boston, MA 02115-5724 Ph: (617) 355-6000 | Dr Mairead Rynn Wilson, MD 55 Fogg Rd, S Weymouth, MA 02190-2432 Ph: (781) 624-8000 |
Dr. Gabriel Paris, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 55 Fogg Rd, S Weymouth, MA 02190 Phone: 781-624-8000 | |
Joshua Meyer, Pediatrics Medicare: Medicare Enrolled Practice Location: 55 Fogg Rd, S Weymouth, MA 02190 Phone: 781-624-8000 | |
Kelly Theresa Quinn, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 55 Fogg Rd, S Weymouth, MA 02190 Phone: 781-624-8000 |