| Ian Gerard Johnson, MD | |
|
1153 Centre St, Jamaica Plain, MA 02130-3446 | |
| (617) 983-7474 | |
| Not Available |
| Full Name | Ian Gerard Johnson |
|---|---|
| Gender | Male |
| Speciality | Psychiatry & Neurology - Addiction Psychiatry |
| Location | 1153 Centre St, Jamaica Plain, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942763115 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0802X | Psychiatry & Neurology - Addiction Psychiatry | 1015490 (Massachusetts) | Primary |
| Entity Name | The Mclean Hospital Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114979580 PECOS PAC ID: 9436040961 Enrollment ID: O20040323001228 |
| Entity Name | Brigham & Womens Physicians Organization Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033535497 PECOS PAC ID: 3870405988 Enrollment ID: O20150107001260 |
| Mailing Address | Practice Location Address |
|---|---|
| Ian Gerard Johnson, MD 1153 Centre St, Jamaica Plain, MA 02130-3446 Ph: () - | Ian Gerard Johnson, MD 1153 Centre St, Jamaica Plain, MA 02130-3446 Ph: (617) 983-7474 |
David Macmillan, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 170 Morton St, Jamaica Plain, MA 02130 Phone: 617-522-8110 Fax: 617-971-3852 | |
Dr. Bennett Simon, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 44b Burroughs St, Jamaica Plain, MA 02130 Phone: 617-983-8733 Fax: 617-983-1877 | |
Barbara Maxwell, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: Lemuel Shattuock Hospital, 170 Morton Street, Jamaica Plain, MA 02130 Phone: 617-522-8110 | |
Dr. Kenneth C Potts, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1153 Centre St, Jamaica Plain, MA 02130 Phone: 617-983-7926 Fax: 617-983-7455 | |
Dr. Mark Stephen Bauer, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 150 S Huntington Ave, Va Boston Healthcare System - 152m, Jamaica Plain, MA 02130 Phone: 857-364-6380 Fax: 857-364-6140 | |
Carlee A Blamphin, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1153 Centre Street, Faulkner Hospital/psychiatry, Jamaica Plain, MA 02130 Phone: 617-489-1117 | |
Martha Cesena, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 3 Dunning Way, No. 97, Jamaica Plain, MA 02130 Phone: 617-522-0059 |