| Dr Thomas J Gill Iv, MD | |
|
40 Allied Dr, Dedham, MA 02026-6146 | |
| (617) 264-1100 | |
| (617) 264-1101 |
| Full Name | Dr Thomas J Gill Iv |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 36 Years |
| Location | 40 Allied Dr, Dedham, 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 |
|---|---|---|---|
| 1457339491 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207XX0005X | Orthopaedic Surgery - Sports Medicine | 152013 (Massachusetts) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| New England Baptist Hospital | Boston, MA | Hospital |
| St Elizabeth's Medical Center | Brighton, MA | Hospital |
| Newton-wellesley Hospital | Newton, MA | Hospital |
| Emerson Hospital - | W concord, MA | Hospital |
| Entity Name | Bmc Affiliated Physicians, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245320910 PECOS PAC ID: 9830133123 Enrollment ID: O20050617000054 |
| Entity Name | Steward Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629398219 PECOS PAC ID: 2860688728 Enrollment ID: O20101119000007 |
| Entity Name | Boston Sports Medicine And Research Institute Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972934529 PECOS PAC ID: 6305060013 Enrollment ID: O20140620000359 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Thomas J Gill Iv, MD Bmchs Provider Enrollment, 960 Massachusetts Ave Flr 2, Boston, MA 02118 Ph: () - | Dr Thomas J Gill Iv, MD 40 Allied Dr, Dedham, MA 02026-6146 Ph: (617) 264-1100 |
Lauren Elizabeth Keating, PA-C Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 200 Providence Hwy Ste 200, Dedham, MA 02026 Phone: 508-641-4730 | |
Mr. Sean Patrick Kelly, PA-C Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 40 Allied Dr, Dedham, MA 02026 Phone: 617-264-1100 | |
Dr. Onaly A Kapasi, MD, FAAOS Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 80 Bridge St, Dedham, MA 02026 Phone: 781-326-0077 Fax: 781-326-0077 |