| Ilene E Carlson, MD | |
|
680 Centre St, Pathology Department, Brockton, MA 02302-3308 | |
| (508) 941-7414 | |
| (508) 941-6295 |
| Full Name | Ilene E Carlson |
|---|---|
| Gender | Female |
| Speciality | Pathology |
| Experience | 34 Years |
| Location | 680 Centre St, Brockton, Massachusetts |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457395097 | NPI | - | NPPES |
| 3167119 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 153189 (Massachusetts) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Metrowest Medical Center | Framingham, MA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Metrowest Pathology Associates | 4981745031 | 7 |
| Entity Name | Metrowest Pathology Associates |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790890077 PECOS PAC ID: 4981745031 Enrollment ID: O20100111000830 |
| Mailing Address | Practice Location Address |
|---|---|
| Ilene E Carlson, MD 680 Centre St, Pathology Department, Brockton, MA 02302-3308 Ph: (508) 941-7414 | Ilene E Carlson, MD 680 Centre St, Pathology Department, Brockton, MA 02302-3308 Ph: (508) 941-7414 |
Dr. Desiree A Carlson, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 680 Centre St, Pathology Department, Brockton, MA 02302 Phone: 508-941-7414 Fax: 508-941-6295 | |
Jitka Persinova, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 680 Centre St, Pathology Department, Brockton, MA 02302 Phone: 508-941-7414 Fax: 508-941-6295 | |
Paul R Tanguay, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 235 N Pearl St, Attn Pathology Dept, Brockton, MA 02301 Phone: 508-427-3086 Fax: 508-588-0520 | |
Dr. Amy E Mondelblatt, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 680 Centre St, Department Of Pathology, Brockton, MA 02302 Phone: 508-941-7040 | |
Dr. Yuxiang Ma, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 680 Centre St, Brockton, MA 02302 Phone: 508-941-7414 | |
Dr. Neila Alvarez Cariz, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 235 North Pearl St, Gsmc - Pathology Department, Brockton, MA 02301 Phone: 508-427-3000 | |
Robert F Wright Jr., MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 680 Centre St, Pathology Department, Brockton, MA 02302 Phone: 508-941-7414 Fax: 508-941-6295 |