| Lakiea Wright, | |
|
33 Cohasset Ave. Unit #2, Allergy & Asthma Associates - South, Buzzards Bay, MA 02532-3270 | |
| (508) 759-7555 | |
| (508) 759-7355 |
| Full Name | Lakiea Wright |
|---|---|
| Gender | Female |
| Speciality | Allergy & Immunology - Allergy |
| Location | 33 Cohasset Ave. Unit #2, Buzzards Bay, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376876565 | NPI | - | NPPES |
| 110096022A | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207KA0200X | Allergy & Immunology - Allergy | 251373 (Massachusetts) | Primary |
| 207R00000X | Internal Medicine | 00000000 (Illinois) | Secondary |
| Entity Name | Martha's Vineyard Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194866210 PECOS PAC ID: 9931166113 Enrollment ID: O20041220000589 |
| Entity Name | Brigham & Womens Physicians Organization Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033535497 PECOS PAC ID: 3870405988 Enrollment ID: O20150107001260 |
| Mailing Address | Practice Location Address |
|---|---|
| Lakiea Wright, 33 Cohasset Ave. Unit #2, Allergy & Asthma Associates - South, Buzzards Bay, MA 02532-3270 Ph: (508) 759-7555 | Lakiea Wright, 33 Cohasset Ave. Unit #2, Allergy & Asthma Associates - South, Buzzards Bay, MA 02532-3270 Ph: (508) 759-7555 |
Dr. John J. Costa, M.D. Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 33 Cohasset Ave, Unit #2, Buzzards Bay, MA 02532 Phone: 508-759-7555 Fax: 508-759-7355 |