| Dr Richard William Grant, MD MPH | |
|
300 Ocean Ave # Rhc, Revere Healthcare Center, Revere, MA 02151-3675 | |
| (781) 485-6000 | |
| (781) 485-6391 |
| Full Name | Dr Richard William Grant |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Location | 300 Ocean Ave # Rhc, Revere, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154392561 | NPI | - | NPPES |
| 3200191 | Medicaid | MA | |
| 156401 | Other | MA | TUFTS HEALTH PLAN |
| J21674 | Other | MA | BCBS MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 156401 (Massachusetts) | Primary |
| Entity Name | Permanente Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Richard William Grant, MD MPH Po Box 9142, Mass General Physician Organization, Charlestown, MA 02129-9142 Ph: (617) 724-0287 | Dr Richard William Grant, MD MPH 300 Ocean Ave # Rhc, Revere Healthcare Center, Revere, MA 02151-3675 Ph: (781) 485-6000 |
Dr. Philip F. Daly, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 300 Broadway, 2nd Fl, Revere, MA 02151 Phone: 781-485-1000 Fax: 781-286-5418 | |
Dr. Antonio Granfone, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 300 Broadway Rhc, Revere Health Center Broadway, Revere, MA 02151 Phone: 781-485-1000 | |
Dr. Laura J Olson, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 300 Ocean Ave, Revere Health Care Center Rhc, Revere, MA 02151 Phone: 781-485-6000 Fax: 781-485-6392 | |
Katherine A Sakmar, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 300 Broadway, Mgh Healthcare Center, Revere, MA 02151 Phone: 781-485-1000 Fax: 781-286-5418 | |
Dr. Deborah Jean Wald, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 300 Ocean Ave, Rhc Revere Healthcare Center, Revere, MA 02151 Phone: 617-485-6350 Fax: 617-485-6391 | |
David M Roll, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: Revere Family Health Center, 454 Broadway, Revere, MA 02151 Phone: 781-485-8222 |