| Irina Kogan, MD | |
|
464 Hillside Ave, Needham, MA 02494-1227 | |
| (781) 449-5170 | |
| Not Available |
| Full Name | Irina Kogan |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 464 Hillside Ave, Needham, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639287899 | NPI | - | NPPES |
| 9727540 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 203536 (Massachusetts) | Primary |
| Entity Name | Metro West Rehab Corp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093744286 PECOS PAC ID: 4183693542 Enrollment ID: O20050606000389 |
| Entity Name | Steward Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629398219 PECOS PAC ID: 2860688728 Enrollment ID: O20101119000007 |
| Entity Name | Steward Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629398219 PECOS PAC ID: 2860688728 Enrollment ID: O20101119000332 |
| Mailing Address | Practice Location Address |
|---|---|
| Irina Kogan, MD 464 Hillside Ave, Needham, MA 02494-1227 Ph: (781) 449-5170 | Irina Kogan, MD 464 Hillside Ave, Needham, MA 02494-1227 Ph: (781) 449-5170 |
Patricia A Langill, FNP Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 87 Chestnut St, Needham, MA 02492 Phone: 781-444-5515 Fax: 781-444-1866 | |
Kenneth P Mcwha, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 145 Rosemary St Ste C, Needham, MA 02494 Phone: 781-444-5515 Fax: 781-444-1866 | |
Kristin B. Behenna, AGNP Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 145 Rosemary Street, Suite C, Needham, MA 02494 Phone: 781-235-7900 Fax: 781-235-9930 | |
Jonathan B. Yoder, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 392 Chestnut St, Suite 100, Needham, MA 02492 Phone: 617-754-0650 | |
Dr. Nimmi M Trapasso, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 145 Rosemary St Ste C, Needham, MA 02494 Phone: 781-235-7900 Fax: 781-237-9930 | |
Laura L Mancuso, FNP Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 145 Rosemary Street, Suite C, Needham, MA 02494 Phone: 781-235-7900 Fax: 781-237-9930 |