| Lisa Robin Diller, MD | |
| 
					44 Binney Street, 300 Longwood Avenue, Boston, MA 02115  | |
| (617) 632-5642 | |
| Not Available | 
| Full Name | Lisa Robin Diller | 
|---|---|
| Gender | Female | 
| Speciality | Pediatrics - Pediatric Hematology-oncology | 
| Location | 44 Binney Street, Boston, Massachusetts | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1497773923 | NPI | - | NPPES | 
| J10214 | Other | BCBS OF MA | |
| 6563998 | Other | CIGNA | |
| J10214 | Other | HMO BLUE | |
| 23287 | Other | FALLON COMM HEALTH PLAN | |
| E54937DF | Other | HPHC DFCI ONLY | |
| J10214 | Other | INDEMNITY | |
| J10214 | Other | BC ELECT | |
| 059684 | Other | TUFTS | |
| 2927582 | Other | AETNA US HEALTHCARE | |
| 3082431 | Other | MASSHEALTH MA MEDICAID | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 2080P0207X | Pediatrics - Pediatric Hematology-oncology | 59684 (Massachusetts) | Primary | 
| Entity Name | Dana-farber Cancer Institute, Inc. | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1851333686 PECOS PAC ID: 9133038904 Enrollment ID: O20040223000228  | 
| Entity Name | Children's Hospital Pediatric Associates, Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1457306664 PECOS PAC ID: 3476541830 Enrollment ID: O20040504000964  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Lisa Robin Diller, MD 44 Binney Street, D 1646, Boston, MA 02115 Ph: (617) 632-5642  | Lisa Robin Diller, MD 44 Binney Street, 300 Longwood Avenue, Boston, MA 02115 Ph: (617) 632-5642  | 
Puja Banka, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 300 Longwood Ave, Bader 203, Boston, MA 02115 Phone: 617-355-6363  | |
Angela M. Jacques, MD Pediatrics Medicare: Medicare Enrolled Practice Location: Massachusetts General Hospital, 55 Fruit St., Boston, MA 02114 Phone: 617-726-2066  | |
Dr. Elizabeth S Taglauer, M.D., PH.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 300 Longwood Ave, Boston, MA 02115 Phone: 617-355-6000  | |
Cailyn Hereen Rood, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 300 Longwood Ave, Boston, MA 02115 Phone: 617-355-6000  | |
Dr. Alon Peltz, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 300 Longwood Ave, Boston, MA 02115 Phone: 617-355-6000  | |
Miki Nishitani, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 300 Longwood Ave, Boston, MA 02115 Phone: 617-355-6000  | |
Vickren Pillay, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 300 Longwood Ave, Boston, MA 02115 Phone: 617-355-6000  |