| Dr Steven Ira Kornbleuth, MD | |
|
1 City Hall Plz, Melrose, MA 02176-3149 | |
| (781) 662-8881 | |
| (781) 662-3376 |
| Full Name | Dr Steven Ira Kornbleuth |
|---|---|
| Gender | Male |
| Speciality | Dermatology |
| Experience | 32 Years |
| Location | 1 City Hall Plz, Melrose, 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 |
|---|---|---|---|
| 1386634806 | NPI | - | NPPES |
| J19373 | Other | BCBS | |
| 0300301 | Other | UNITED HEALTHCARE | |
| 156364 | Other | MA | STATE LICENSE NUMBER |
| 39444 | Other | FALLON | |
| 156364 | Other | TUFTS | |
| 401061 | Other | HARVARD PILGRIM | |
| 070012784 | Other | RAILROAD MEDICARE | |
| 2062239 | Other | AETNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | 156364 (Massachusetts) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Newton-wellesley Hospital | Newton, MA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Advanced Dermatology And Aesthetic Center Llc | 3274953476 | 3 |
| Dermcare Physicians And Surgeons Llc | 9234141904 | 10 |
| Entity Name | Dermcare Physicians And Surgeons Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780636597 PECOS PAC ID: 9234141904 Enrollment ID: O20060620000223 |
| Entity Name | Nesc Bidpo Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235478595 PECOS PAC ID: 6709023716 Enrollment ID: O20130513000006 |
| Entity Name | Nesc Steward Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538575386 PECOS PAC ID: 3173848355 Enrollment ID: O20150210001641 |
| Entity Name | Advanced Dermatology And Aesthetic Center Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568907533 PECOS PAC ID: 3274953476 Enrollment ID: O20201008001688 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Steven Ira Kornbleuth, MD 1 City Hall Plz, Melrose, MA 02176-3149 Ph: (781) 662-8881 | Dr Steven Ira Kornbleuth, MD 1 City Hall Plz, Melrose, MA 02176-3149 Ph: (781) 662-8881 |
Dr. Vincent Falanga, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1 City Hall Plz, Melrose, MA 02176 Phone: 781-662-8881 Fax: 781-662-8886 |