| Jessica A Mandeville, MD | |
|
41 Mall Rd, Lahey Clinic, Burlington, MA 01805-0001 | |
| (781) 744-2511 | |
| (781) 744-5429 |
| Full Name | Jessica A Mandeville |
|---|---|
| Gender | Female |
| Speciality | Urology |
| Experience | 21 Years |
| Location | 41 Mall Rd, Burlington, Massachusetts |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396916045 | NPI | - | NPPES |
| 110092756A | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 251318 (Massachusetts) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lahey Hospital & Medical Center, Burlington | Burlington, MA | Hospital |
| Northeast Hospital Corporation | Beverly, MA | Hospital |
| Brigham And Women's Hospital | Boston, MA | Hospital |
| Exeter Hospital Inc | Exeter, NH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lahey Clinic Inc | 2264336528 | 1268 |
| Entity Name | Lahey Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538194980 PECOS PAC ID: 2264336528 Enrollment ID: O20031120000097 |
| Entity Name | Lahey Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063447316 PECOS PAC ID: 2264336528 Enrollment ID: O20040629001269 |
| Mailing Address | Practice Location Address |
|---|---|
| Jessica A Mandeville, MD 41 Mall Rd, Lahey Clinic, Burlington, MA 01805-0001 Ph: (781) 744-2511 | Jessica A Mandeville, MD 41 Mall Rd, Lahey Clinic, Burlington, MA 01805-0001 Ph: (781) 744-2511 |
Kelly Crane, Urology Medicare: Not Enrolled in Medicare Practice Location: 41 Mall Rd, Burlington, MA 01805 Phone: 781-744-8762 | |
John A Libertino, MD Urology Medicare: Medicare Enrolled Practice Location: 41 Mall Rd, Burlington, MA 01805 Phone: 781-744-8000 Fax: 781-744-5429 | |
Andrea P Sorcini, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 41 Mall Rd., Lahey Clinic, Burlington, MA 01805 Phone: 781-744-2406 Fax: 781-744-5429 | |
Jason R Gee, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 41 Mall Rd, Burlington, MA 01805 Phone: 781-744-5100 | |
Alireza Moinzadeh, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 41 Mall Rd, Department Of Urology, Burlington, MA 01805 Phone: 781-744-8334 Fax: 781-744-5429 | |
Peris R Castaneda, MD Urology Medicare: May Accept Medicare Assignments Practice Location: 41 Mall Rd, Burlington, MA 01805 Phone: 781-744-8000 | |
Manuel J Merino, MD Urology Medicare: Medicare Enrolled Practice Location: 41 Mall Rd, Lahey Clinic, Burlington, MA 01805 Phone: 781-744-7284 Fax: 781-744-5411 |