| Jared Fialkoff, | |
|
145 Rosemary St Ste C1, Needham, MA 02494-3259 | |
| (781) 433-2110 | |
| Not Available |
| Full Name | Jared Fialkoff |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 6 Years |
| Location | 145 Rosemary St Ste C1, Needham, 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 |
|---|---|---|---|
| 1215494927 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 1017523 (Massachusetts) | Primary |
| 208800000X | Urology | 036158482 (Illinois) | Secondary |
| 208800000X | Urology | 125073537 (Illinois) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Beth Israel Deaconess Hospital - Needham | Needham, MA | Hospital |
| Beth Israel Deaconess Medical Center | Boston, MA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Associated Physicians Of Harvard Medical Faculty Physicians At Beth Is | 6305749987 | 495 |
| Entity Name | Associated Physicians Of Harvard Medical Faculty Physicians At Beth Is |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902316136 PECOS PAC ID: 6305749987 Enrollment ID: O20171116001335 |
| Mailing Address | Practice Location Address |
|---|---|
| Jared Fialkoff, 145 Rosemary St Ste C1, Needham, MA 02494-3259 Ph: (781) 433-2110 | Jared Fialkoff, 145 Rosemary St Ste C1, Needham, MA 02494-3259 Ph: (781) 433-2110 |
Joseph Michael Ciccone, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 100 West St, Needham, MA 02494 Phone: 781-433-2110 Fax: 781-433-2117 | |
Justin M Zbrzezny, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 100 West St, Needham, MA 02494 Phone: 781-433-2110 Fax: 781-433-2117 | |
Paul Allan Church, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 100 West St, Needham, MA 02494 Phone: 781-433-2110 Fax: 781-433-2117 |