| Kevin F O'donnell, MD | |
| 11 Nevins St, Suite 201, Brighton, MA 02135-3514 | |
| (617) 789-2442 | |
| (617) 789-4207 | 
| Full Name | Kevin F O'donnell | 
|---|---|
| Gender | Male | 
| Speciality | Surgery | 
| Location | 11 Nevins St, Brighton, Massachusetts | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1427047190 | NPI | - | NPPES | 
| 2042711 | Medicaid | MA | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208600000X | Surgery | 58951 (Massachusetts) | Primary | 
| Entity Name | Steward Medical Group Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1629398219 PECOS PAC ID: 2860688728 Enrollment ID: O20101119000007 | 
| Entity Name | Steward Medical Group Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1629398219 PECOS PAC ID: 2860688728 Enrollment ID: O20101119000332 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Kevin F O'donnell, MD 11 Nevins St, Suite 201, Brighton, MA 02135-3514 Ph: (617) 789-2442 | Kevin F O'donnell, MD 11 Nevins St, Suite 201, Brighton, MA 02135-3514 Ph: (617) 789-2442 | 
| Zahra Alhajji,  Surgery Medicare: Medicare Enrolled Practice Location: 736 Cambirdge St, Brighton, MA 02135 Phone: 617-789-2990 Fax: 617-789-3419 | |
| Oseogie Okojie, MD Surgery Medicare: Medicare Enrolled Practice Location: 736 Cambridge St, Brighton, MA 02135 Phone: 617-789-2777 | |
| Dr. Maria Arshanskiy, MD Surgery Medicare: Medicare Enrolled Practice Location: 736 Cambridge St, Brighton, MA 02135 Phone: 617-789-2990 | |
| Marvin J Lopez, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 11 Nevins St, Ste 201, Brighton, MA 02135 Phone: 617-789-2442 Fax: 617-789-4207 | |
| Dr. Edward Michael Dussom, MD Surgery Medicare: Medicare Enrolled Practice Location: 736 Cambridge St, Brighton, MA 02135 Phone: 617-789-3000 | |
| Dr. Aaron Richard Dezube, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 11 Nevins St, Suite 201, Brighton, MA 02135 Phone: 617-789-2442 Fax: 617-202-4349 | |
| Grace Lassiter, MD Surgery Medicare: Medicare Enrolled Practice Location: 736 Cambridge St, Brighton, MA 02135 Phone: 617-789-2000 |