| Dr Philip Severin Iii, MD | |
|
637 Washington St, Dorchester Center, MA 02124-3510 | |
| (617) 825-9660 | |
| (617) 288-7898 |
| Full Name | Dr Philip Severin Iii |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 36 Years |
| Location | 637 Washington St, Dorchester Center, Massachusetts |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689635534 | NPI | - | NPPES |
| 3173020 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 81961 (Massachusetts) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Boston Medical Center | Boston, MA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Codman Square Health Center, Inc | 8123013869 | 56 |
| Entity Name | Codman Square Health Center, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396808309 PECOS PAC ID: 8123013869 Enrollment ID: O20040420000859 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Philip Severin Iii, MD 637 Washington St, Dorchester Center, MA 02124-3510 Ph: (617) 825-9660 | Dr Philip Severin Iii, MD 637 Washington St, Dorchester Center, MA 02124-3510 Ph: (617) 825-9660 |
Dr. Mark Cyprian Beaumont, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 637 Washington St, Dorchester Center, MA 02124 Phone: 617-825-9660 Fax: 617-822-8222 | |
Sara A Tepperberg, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 637 Washington St, Dorchester Center, MA 02124 Phone: 617-825-9660 Fax: 617-288-7898 | |
Salvatore Joseph Molica Jr., M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 637 Washington St, Dorchester Center, MA 02124 Phone: 617-822-8211 Fax: 617-288-7898 | |
Dr. Elizabeth Mary Maziarka, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 637 Washington St, Dorchester Center, MA 02124 Phone: 617-825-9660 Fax: 617-288-7898 |