| Dr Vicki Mahan, MD | |
|
110 Francis St, #2a, Boston, MA 02215-5501 | |
| (617) 632-8383 | |
| Not Available |
| Full Name | Dr Vicki Mahan |
|---|---|
| Gender | Female |
| Speciality | Thoracic Surgery (cardiothoracic Vascular Surgery) |
| Location | 110 Francis St, Boston, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932132214 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 157580 (Massachusetts) | Primary |
| 208600000X | Surgery | 157580 (Massachusetts) | Secondary |
| Entity Name | Stc Pediatrics Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144864547 PECOS PAC ID: 7315372323 Enrollment ID: O20200122001254 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Vicki Mahan, MD 110 Francis St, #2a, Boston, MA 02215-5501 Ph: (716) 208-1574 | Dr Vicki Mahan, MD 110 Francis St, #2a, Boston, MA 02215-5501 Ph: (617) 632-8383 |
Laurence H Brinckerhoff, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 830 Harrison Ave Fl 3, Moakley Bldg., Boston, MA 02118 Phone: 617-638-5600 Fax: 617-638-7228 | |
Aviel Avraham Azulay, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Not Enrolled in Medicare Practice Location: 75 Francis St, Boston, MA 02115 Phone: 617-732-6824 | |
David C Liu, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 110 Francis St, Suite 2a, Boston, MA 02215 Phone: 617-632-8383 | |
Christopher Thomas Ducko, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 75 Francis St, Boston, MA 02115 Phone: 617-732-6824 Fax: 617-566-3441 | |
Gregory Stephen Couper, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: Brigham And Women's Hospital, Division Of Cardiac Surgery, Boston, MA 02115 Phone: 617-732-5500 | |
Dr. Niloo M Edwards, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 732 Harrison Ave, 3rd Floor, Boston, MA 02118 Phone: 617-638-5600 | |
John Young, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 75 Francis St, Boston, MA 02115 Phone: 617-732-6824 Fax: 617-566-3441 |