| Dr Michelle Jean Jacques Johnson, MD | |
| 
					1125 Tremont St, Roxbury Crossing, MA 02120-2178  | |
| (617) 427-1000 | |
| (617) 989-3006 | 
| Full Name | Dr Michelle Jean Jacques Johnson | 
|---|---|
| Gender | Female | 
| Speciality | Internal Medicine | 
| Location | 1125 Tremont St, Roxbury Crossing, Massachusetts | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1598726606 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207R00000X | Internal Medicine | 153786 (Massachusetts) | Primary | 
| Entity Name | Mass General Brigham Medical Group Suburban Massachusetts Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1538191218 PECOS PAC ID: 0244133494 Enrollment ID: O20040127001012  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Michelle Jean Jacques Johnson, MD 489 Poplar St, Roslindale, MA 02131-4934 Ph: (617) 325-6550  | Dr Michelle Jean Jacques Johnson, MD 1125 Tremont St, Roxbury Crossing, MA 02120-2178 Ph: (617) 427-1000  | 
Dr. Judith Ann Waligunda, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 125 Parker Hill Ave, Suite #450, Roxbury Crossing, MA 02120 Phone: 617-754-5910 Fax: 617-754-5950  | |
Charles Joseph Dow, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 125 Parker Hill Ave, Fogg 430, Roxbury Crossing, MA 02120 Phone: 617-264-4500 Fax: 617-232-4153  | |
Dr. Omar Hasan, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1620 Tremont St, 3rd Floor, Roxbury Crossing, MA 02120 Phone: 617-732-7063 Fax: 617-732-7072  | |
Salmaan Keshavjee, MD PHD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1620 Tremont St, Smhi Division, Roxbury Crossing, MA 02120 Phone: 617-525-7649  | |
Dr. Gerald Izzi, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 125 Parker Hill Ave, Ste 500, Roxbury Crossing, MA 02120 Phone: 617-735-9200 Fax: 617-735-9230  | |
Dr. Frederick Calvin Basilico, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 125 Parker Hill Ave, Ste 450, Roxbury Crossing, MA 02120 Phone: 617-754-5910 Fax: 617-754-5950  | |
Monica Piecyk, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 125 Parker Hill Ave, Roxbury Crossing, MA 02120 Phone: 617-754-5800 Fax: 617-754-6426  |