| Dr Elie R Balesh, MD | |
|
736 Cambridge St, Brighton, MA 02135-2907 | |
| (617) 789-3000 | |
| Not Available |
| Full Name | Dr Elie R Balesh |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 15 Years |
| Location | 736 Cambridge St, Brighton, Massachusetts |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528353299 | NPI | - | NPPES |
| 129244000 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | ME142501 (Florida) | Secondary |
| 2085R0204X | Radiology - Vascular & Interventional Radiology | 257182 (Massachusetts) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Northeast Hospital Corporation | Beverly, MA | Hospital |
| Gulf Coast Medical Center Lee Health | Fort myers, FL | Hospital |
| Lahey Hospital & Medical Center, Burlington | Burlington, MA | Hospital |
| Lee Memorial Hospital | Fort myers, FL | Hospital |
| Cape Coral Hospital | Cape coral, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Florida Radiology Consultants P A | 3678471943 | 70 |
| Lahey Clinic Inc | 2264336528 | 1384 |
| Florida Radiology Leasing Llc | 1759327356 | 37 |
| Beverly Radiology Associates Inc | 0345241154 | 38 |
| Entity Name | Radiology Regional Center Professional Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619365772 PECOS PAC ID: 3274858295 Enrollment ID: O20150216001973 |
| Entity Name | Blue Radiology Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174976468 PECOS PAC ID: 9032407382 Enrollment ID: O20161019001652 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Elie R Balesh, MD 3660 Broadway, Fort Myers, FL 33901-8005 Ph: (239) 936-2316 | Dr Elie R Balesh, MD 736 Cambridge St, Brighton, MA 02135-2907 Ph: (617) 789-3000 |
Michael F Mastromatteo, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 736 Cambridge St, Brighton, MA 02135 Phone: 617-789-2762 | |
Richard Faraci, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 736 Cambridge St, Brighton, MA 02135 Phone: 617-789-3000 | |
Amin Chaoui, MD Radiology Medicare: May Accept Medicare Assignments Practice Location: 736 Cambridge St, Brighton, MA 02135 Phone: 617-789-3000 | |
Allison L Keel, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 736 Cambridge St, Brighton, MA 02135 Phone: 617-789-2740 | |
Janneth Y Romero, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 736 Cambridge St, Brighton, MA 02135 Phone: 617-789-2762 | |
Alpa Garg, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 736 Cambridge St, Brighton, MA 02135 Phone: 617-789-2740 | |
James Hill, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 20 Guest St Ste 225, Brighton, MA 02135 Phone: 617-738-8642 Fax: 617-202-4172 |