| Jeffrey Lo, MD | |
|
300 Longwood Ave, Boston, MA 02115-5724 | |
| (617) 355-6000 | |
| Not Available |
| Full Name | Jeffrey Lo |
|---|---|
| Gender | Male |
| Speciality | Sports Medicine |
| Experience | 11 Years |
| Location | 300 Longwood Ave, Boston, 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 |
|---|---|---|---|
| 1730506999 | NPI | - | NPPES |
| 270861 | Other | MA | MASSACHUSETTS MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2080S0010X | Pediatrics - Sports Medicine | 270861 (Massachusetts) | Primary |
| 2080P0216X | Pediatrics - Pediatric Rheumatology | 270861 (Massachusetts) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Children's Sports Medicine Foundation Inc | 7719901198 | 29 |
| Entity Name | Children's Hospital Pediatric Associates, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457306664 PECOS PAC ID: 3476541830 Enrollment ID: O20040504000964 |
| Entity Name | Children's Sports Medicine Foundation Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740216811 PECOS PAC ID: 7719901198 Enrollment ID: O20060125000006 |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffrey Lo, MD 300 Longwood Ave, Boston, MA 02115-5724 Ph: (617) 355-6000 | Jeffrey Lo, MD 300 Longwood Ave, Boston, MA 02115-5724 Ph: (617) 355-6000 |
Puja Banka, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 300 Longwood Ave, Bader 203, Boston, MA 02115 Phone: 617-355-6363 | |
Angela M. Jacques, MD Pediatrics Medicare: May Accept Medicare Assignments Practice Location: Massachusetts General Hospital, 55 Fruit St., Boston, MA 02114 Phone: 617-726-2066 | |
Dr. Elizabeth S Taglauer, M.D., PH.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 300 Longwood Ave, Boston, MA 02115 Phone: 617-355-6000 | |
Cailyn Hereen Rood, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 300 Longwood Ave, Boston, MA 02115 Phone: 617-355-6000 | |
Dr. Alon Peltz, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 300 Longwood Ave, Boston, MA 02115 Phone: 617-355-6000 | |
Miki Nishitani, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 300 Longwood Ave, Boston, MA 02115 Phone: 617-355-6000 | |
Vickren Pillay, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 300 Longwood Ave, Boston, MA 02115 Phone: 617-355-6000 |