| Laverne D Gugino, MD | |
|
119 Summit Ave, Winthrop, MA 02152 | |
| (617) 418-0478 | |
| Not Available |
| Full Name | Laverne D Gugino |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 47 Years |
| Location | 119 Summit Ave, Winthrop, 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 |
|---|---|---|---|
| 1760465942 | NPI | - | NPPES |
| 6166253 | Medicaid | MA | |
| 6165362 | Medicaid | MA | |
| J01021 | Other | MA | BLUE CROSS BLUE SHIELD |
| LG58278 | Medicaid | RI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 46992 (Massachusetts) | Secondary |
| 2084N0600X | Psychiatry & Neurology - Clinical Neurophysiology | 46992 (Massachusetts) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Rhode Island Hospital | Providence, RI | Hospital |
| Delray Medical Center | Delray beach, FL | Hospital |
| The Miriam Hospital | Providence, RI | Hospital |
| George Washington Univ Hospital | Washington, DC | Hospital |
| Shore Medical Center | Somers point, NJ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Remote Neuromonitoring Physicians Pc | 1355495961 | 29 |
| Sentient Physicians Pc | 2668764333 | 29 |
| Entity Name | Anaesthesia Associates Of Massachusetts, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568415289 PECOS PAC ID: 5193611267 Enrollment ID: O20040225000842 |
| 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 |
| Entity Name | Remote Neuromonitoring Physicians Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124253075 PECOS PAC ID: 1355495961 Enrollment ID: O20150612001763 |
| Entity Name | Sentient Physicians Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306204805 PECOS PAC ID: 2668764333 Enrollment ID: O20170118001067 |
| Mailing Address | Practice Location Address |
|---|---|
| Laverne D Gugino, MD 3 Maryland Farms Ste 200, Brentwood, TN 37027-5005 Ph: (615) 345-5400 | Laverne D Gugino, MD 119 Summit Ave, Winthrop, MA 02152 Ph: (617) 418-0478 |
Dr. Kishanlal Chakrabarti, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 120 Banks St, Winthrop, MA 02152 Phone: 617-539-1318 Fax: 866-274-0418 |