| Ilyas Yambayev, MD | |
|
680 Centre St, Brockton, MA 02302-3308 | |
| (508) 941-7000 | |
| Not Available |
| Full Name | Ilyas Yambayev |
|---|---|
| Gender | Male |
| Speciality | Pathology - Anatomic Pathology & Clinical Pathology |
| Location | 680 Centre St, Brockton, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457882557 | NPI | - | NPPES |
| 110127115A | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 286413 (Massachusetts) | Primary |
| Entity Name | Boston University Mallory Pathology Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457308637 PECOS PAC ID: 2062301807 Enrollment ID: O20040311000546 |
| Entity Name | Signature Healthcare Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508804949 PECOS PAC ID: 7719876267 Enrollment ID: O20040312000372 |
| Mailing Address | Practice Location Address |
|---|---|
| Ilyas Yambayev, MD 960 Massachusetts Avenue, Fl 2, Boston, MA 02118-2690 Ph: () - | Ilyas Yambayev, MD 680 Centre St, Brockton, MA 02302-3308 Ph: (508) 941-7000 |
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 |