| Dr Peter Tebet Greenspan, MD | |
|
40 2nd Ave, Mass General West Medical Group Ste 400, Waltham, MA 02451-1137 | |
| (781) 487-4340 | |
| (781) 487-4341 |
| Full Name | Dr Peter Tebet Greenspan |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 40 2nd Ave, Waltham, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295725885 | NPI | - | NPPES |
| B51049 | Other | MA | BCBS MA |
| 044159 | Other | MA | TUFTS HEALTH PLAN |
| 6164595 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 44159 (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 Peter Tebet Greenspan, MD Po Box 9142, Mass General Physician Organization, Charlestown, MA 02129-9142 Ph: (781) 487-4340 | Dr Peter Tebet Greenspan, MD 40 2nd Ave, Mass General West Medical Group Ste 400, Waltham, MA 02451-1137 Ph: (781) 487-4340 |
Dr. Robert D Fusunyan, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 40 2nd Avenue, Suite 340, Waltham, MA 02451 Phone: 781-466-8967 Fax: 781-466-8987 | |
Dr. Beth Ann Mccabe, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 40 2nd Ave, Suite 400, Waltham, MA 02451 Phone: 781-522-9000 Fax: 617-735-9098 | |
Cynthia Sacco, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 245 Winter St, Waltham, MA 02451 Phone: 781-419-2709 | |
Myron B Peterson, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: Cato Ltd., 1100 Winter Street, Waltham, MA 02451 Phone: 617-484-2297 | |
Dr. Sarah Pritchett Zimmerman, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 40 2nd Ave Ste 400, Waltham, MA 02451 Phone: 781-487-4340 | |
James I Goldston, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 42 Weston St Ste 2a, Waltham, MA 02453 Phone: 781-747-8480 Fax: 949-577-4121 |