| Ikjot S Bhutani, MD | |
|
55 Lake Ave N, Department Of Anatomic Pathology, Worcester, MA 01655-0002 | |
| (508) 793-6100 | |
| (508) 793-6110 |
| Full Name | Ikjot S Bhutani |
|---|---|
| Gender | Male |
| Speciality | Pathology |
| Experience | 17 Years |
| Location | 55 Lake Ave N, Worcester, 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 |
|---|---|---|---|
| 1801185335 | NPI | - | NPPES |
| 110114620A | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 262257 (Massachusetts) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Abrazo West Campus | Goodyear, AZ | Hospital |
| Chandler Regional Medical Center | Chandler, AZ | Hospital |
| Abrazo Scottsdale Campus | Phoenix, AZ | Hospital |
| Summit Healthcare Regional Medical Center | Show low, AZ | Hospital |
| Mercy Gilbert Medical Center | Gilbert, AZ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Clin-path Pathology | 5193717866 | 27 |
| Entity Name | Pathology Specialist Of Arizona, Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174503999 PECOS PAC ID: 4789583188 Enrollment ID: O20040105000801 |
| Entity Name | Clin-path Pathology |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922079706 PECOS PAC ID: 5193717866 Enrollment ID: O20040401000920 |
| Mailing Address | Practice Location Address |
|---|---|
| Ikjot S Bhutani, MD Po Box 415348, Boston, MA 02241-5348 Ph: () - | Ikjot S Bhutani, MD 55 Lake Ave N, Department Of Anatomic Pathology, Worcester, MA 01655-0002 Ph: (508) 793-6100 |
Dr. Yayan Chen, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 123 Summer St, Worcester, MA 01608 Phone: 508-363-6049 Fax: 508-363-6136 | |
Lesley Woods, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 281 Lincoln St, Med Staff Svcs, Worcester, MA 01605 Phone: 508-334-8015 | |
Xiaoqin Zhu, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 55 Lake Ave N, Worcester, MA 01655 Phone: 508-793-6100 Fax: 508-793-6110 | |
Dr. Hanqiao Zheng, MD, PHD Pathology Medicare: Accepting Medicare Assignments Practice Location: 55 Lake Ave N, Worcester, MA 01655 Phone: 508-793-6100 Fax: 508-793-6110 | |
Dina H. Kandil, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 55 Lake Ave N, Department Of Anatomic Pathology, Worcester, MA 01655 Phone: 508-793-6100 Fax: 508-793-6110 | |
Hongwei Bai, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 55 Lake Ave N, Department Of Anatomic Pathology, Worcester, MA 01655 Phone: 508-793-6110 Fax: 508-793-6100 | |
Minoti Magotra, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 1 Innovation Dr, Biotech 3, Worcester, MA 01605 Phone: 508-334-1000 |