| Dr Mark Anthony Gendreau, MD | |
| 
					Lahey Hospital & Medical Ctr, 41 Mall Rd, Burlington, MA 01805-0001  | |
| (978) 538-4600 | |
| (978) 538-4707 | 
| Full Name | Dr Mark Anthony Gendreau | 
|---|---|
| Gender | Male | 
| Speciality | Emergency Medicine | 
| Location | Lahey Hospital & Medical Ctr, Burlington, Massachusetts | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1184666315 | NPI | - | NPPES | 
| 110003958A | Medicaid | MA | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207P00000X | Emergency Medicine | 153777 (Massachusetts) | Primary | 
| Entity Name | Lahey Clinic Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1538194980 PECOS PAC ID: 2264336528 Enrollment ID: O20031120000097  | 
| Entity Name | Lahey Clinic Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1063447316 PECOS PAC ID: 2264336528 Enrollment ID: O20040629001269  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Mark Anthony Gendreau, MD Lahey Hospital & Medical Ctr, 41 Mall Rd, Burlington, MA 01805-0001 Ph: (978) 538-4600  | Dr Mark Anthony Gendreau, MD Lahey Hospital & Medical Ctr, 41 Mall Rd, Burlington, MA 01805-0001 Ph: (978) 538-4600  | 
Dr. Thomas M Brand, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: Lahey Clinic, 41 Mall Road, Burlington, MA 01805 Phone: 781-744-8000 Fax: 781-744-5659  | |
Kevan John Mamdouhi, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 41 Mall Rd, Burlington, MA 01805 Phone: 781-744-8000  | |
Mr. Paul Dennis Jondro, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 41 Mall Rd, Lahey Clinic, Burlington, MA 01805 Phone: 781-744-8100  | |
Soumya Ganapathy, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 41 Mall Rd, Burlington, MA 01805 Phone: 781-744-8000  | |
Malcolm A Creighton, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: Lahey Clinic, 41 Mall Road, Burlington, MA 01805 Phone: 781-744-5100 Fax: 781-744-5659  | |
Shailendra Kumar Singh, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 41 Mall Rd, Burlington, MA 01805 Phone: 781-744-8000  | |
James J D'urso, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 41 Mall Rd, Burlington, MA 01805 Phone: 781-744-8000 Fax: 978-538-4707  |