| Jacob F Kallenberg, | |
|
235 N Pearl St, Brockton, MA 02301-1794 | |
| (508) 427-3075 | |
| Not Available |
| Full Name | Jacob F Kallenberg |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 11 Years |
| Location | 235 N Pearl St, Brockton, 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 |
|---|---|---|---|
| 1093125171 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 277504 (Massachusetts) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| South Shore Hospital | South weymouth, MA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| South Shore Health Express Inc | 6406108836 | 32 |
| Coastal Medical Associates | 7113029257 | 412 |
| Bmc Affiliated Physicians, Inc. | 9830133123 | 376 |
| Entity Name | Bmc Affiliated Physicians, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245320910 PECOS PAC ID: 9830133123 Enrollment ID: O20050617000054 |
| Entity Name | Coastal Medical Associates |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932175684 PECOS PAC ID: 7113029257 Enrollment ID: O20070221000057 |
| Entity Name | Steward Emergency Physicians Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780971275 PECOS PAC ID: 0244401404 Enrollment ID: O20110919000768 |
| Entity Name | South Shore Health Express Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477044212 PECOS PAC ID: 6406108836 Enrollment ID: O20181115000152 |
| Mailing Address | Practice Location Address |
|---|---|
| Jacob F Kallenberg, 41 Saint Marys Rd, Milton, MA 02186-2034 Ph: (513) 543-4253 | Jacob F Kallenberg, 235 N Pearl St, Brockton, MA 02301-1794 Ph: (508) 427-3075 |
Samantha A Siegel, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 235 N Pearl St, Brockton, MA 02301 Phone: 508-427-3000 | |
Luis E. Ortiz, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 680 Centre St, Brockton, MA 02302 Phone: 508-941-7000 | |
Dr. Stephen J Simon, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 680 Centre St, Brockton, MA 02302 Phone: 508-941-7000 | |
Dr. John Kyle Volpe, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 680 Centre St, Brockton, MA 02302 Phone: 508-941-7200 | |
Grant Wei, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 680 Centre St, Dept. Of Emergency Medicine, Brockton, MA 02302 Phone: 508-941-7400 | |
Daniel Werzanski, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 680 Centre St, Brockton, MA 02302 Phone: 508-941-7000 |