| Jeremy Ryan A Pena, MD, PHD, MS | |
|
55 Fruit St, Mgh, Boston, MA 02114-2696 | |
| (617) 726-0967 | |
| Not Available |
| Full Name | Jeremy Ryan A Pena |
|---|---|
| Gender | Male |
| Speciality | Pathology |
| Experience | 17 Years |
| Location | 55 Fruit St, 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 |
|---|---|---|---|
| 1467688960 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZC0006X | Pathology - Clinical Pathology | 250350 (Massachusetts) | Primary |
| 207ZB0001X | Pathology - Blood Banking & Transfusion Medicine | 250350 (Massachusetts) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Tufts Medical Center | Boston, MA | Hospital |
| Lowell General Hospital | Lowell, MA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Pratt Pathology Associates Inc | 0345131637 | 24 |
| Entity Name | Harvard Medical Faculty Phys At Beth Israel Deaconess Med Ctr Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346281938 PECOS PAC ID: 4486567104 Enrollment ID: O20040323000822 |
| Entity Name | Pratt Pathology Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659312189 PECOS PAC ID: 0345131637 Enrollment ID: O20040324000973 |
| Entity Name | Beth Israel Deaconess Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548202641 PECOS PAC ID: 8123936119 Enrollment ID: O20041001000827 |
| Mailing Address | Practice Location Address |
|---|---|
| Jeremy Ryan A Pena, MD, PHD, MS 55 Fruit Street, Massachusetts General Hospital, Boston, MA 02114 Ph: (617) 726-0967 | Jeremy Ryan A Pena, MD, PHD, MS 55 Fruit St, Mgh, Boston, MA 02114-2696 Ph: (617) 726-0967 |
Arthur J Sytkowski, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: Beth Israel Deaconess, One Deaconess Road, Boston, MA 02215 Phone: 617-632-9980 | |
Stuti Girish Shroff, MD, MBBS Pathology Medicare: Accepting Medicare Assignments Practice Location: 55 Fruit St, Boston, MA 02114 Phone: 617-726-2971 Fax: 617-726-7533 | |
Dr. David Kolin, M.D., PH.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 75 Francis St., Department Of Pathology, Boston, MA 02115 Phone: 617-732-6913 Fax: 617-277-9015 | |
Dr. Dimitra Pouli, MD, PHD Pathology Medicare: Accepting Medicare Assignments Practice Location: 300 Longwood Ave, Boston, MA 02115 Phone: 617-355-6000 | |
Dr. Nancy Lee Harris, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 55 Fruit Street, Wrn 2 Pathology Associates, Boston, MA 02114 Phone: 617-726-5155 Fax: 617-726-9353 | |
Dr. Michael Gerald Drage, MD, PHD Pathology Medicare: Accepting Medicare Assignments Practice Location: 55 Fruit St Bldg 225, Boston, MA 02114 Phone: 617-643-0800 Fax: 617-726-7474 | |
Dr. Ruth K Foreman, MD, PHD Pathology Medicare: Accepting Medicare Assignments Practice Location: 75 Francis St, Department Of Pathology, Brigham And Women's Hospital, Boston, MA 02115 Phone: 617-732-8613 |