| Lisa J Mcgonigal, MD | |
|
745 Boylston St Ste 600, Boston, MA 02116-2657 | |
| (617) 585-1500 | |
| (617) 585-1515 |
| Full Name | Lisa J Mcgonigal |
|---|---|
| Gender | Female |
| Speciality | Preventive Medicine |
| Experience | 31 Years |
| Location | 745 Boylston St Ste 600, Boston, 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 |
|---|---|---|---|
| 1992250534 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 281318 (Massachusetts) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mount Auburn Hospital | Cambridge, MA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Davis Square Family Practice | 1355385196 | 6 |
| Entity Name | Davis Square Family Practice |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780782409 PECOS PAC ID: 1355385196 Enrollment ID: O20050614000069 |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa J Mcgonigal, MD 745 Boylston St Ste 600, Boston, MA 02116-2657 Ph: (617) 585-1500 | Lisa J Mcgonigal, MD 745 Boylston St Ste 600, Boston, MA 02116-2657 Ph: (617) 585-1500 |
Lidya H Wlasiuk, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 850 Harrison Ave, Yacc 5, Boston, MA 02118 Phone: 617-414-2080 Fax: 617-414-2090 | |
Nestor Alejandro Sainz Rueda, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 55 Fruit St, Boston, MA 02114 Phone: 800-711-4644 | |
Madhuri Preeti Rao, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 55 Fruit St, Boston, MA 02114 Phone: 617-889-8580 | |
Brian R Penti, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 850 Harrison Ave, Yacc 4, Boston, MA 02118 Phone: 617-414-2080 Fax: 617-414-2090 | |
Shahnaz Rahman, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 820 Harrison Ave, Boston, MA 02118 Phone: 404-259-4008 | |
Dr. Amy Min He, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 637 Washington St, Boston, MA 02124 Phone: 617-825-9660 | |
Dr. David Buckle, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1340 Boylston St, Boston, MA 02215 Phone: 617-267-0900 Fax: 617-927-5495 |