| Madeleine Mbuyamba, MD | |
|
63 Main St, Brockton, MA 02301-4012 | |
| (508) 559-6699 | |
| (508) 583-4649 |
| Full Name | Madeleine Mbuyamba |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 63 Main St, Brockton, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063446144 | NPI | - | NPPES |
| 32530 | Other | HEALTHY START | |
| 98634901 | Other | MA | NETWORK HEALTH |
| J25606 | Other | BLUE CROSS BLUE SHIELD | |
| 0017976 | Other | NEIGHBORHOOD HEALTH PLAN | |
| 32530 | Other | CHILDRENS MEDICAL SEC. PL | |
| 000000036884 | Other | MA | BMC HEALTHNET |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 159479 (Massachusetts) | Primary |
| Entity Name | Brockton Neighborhood Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225085319 PECOS PAC ID: 3870491699 Enrollment ID: O20031230000558 |
| Mailing Address | Practice Location Address |
|---|---|
| Madeleine Mbuyamba, MD 63 Main St, Brockton, MA 02301-4342 Ph: (508) 559-1567 | Madeleine Mbuyamba, MD 63 Main St, Brockton, MA 02301-4012 Ph: (508) 559-6699 |
Dr. Crystal L Rainville, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: One Pearl Street, Suite 2000, Brockton, MA 02301 Phone: 508-894-8577 Fax: 508-894-8578 | |
Emily Slosberg, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 158 Pleasant Street, Brockton, MA 02301 Phone: 508-894-3363 Fax: 508-893-4649 | |
Alan B Bulotsky, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 201 Quincy St, Brockton, MA 02302 Phone: 508-584-1890 Fax: 508-580-3332 | |
Dr. Kyle Deerwester, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 680 Centre St, Brockton, MA 02302 Phone: 508-941-7580 Fax: 508-941-6268 | |
Freya S Emspak, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 110 Liberty St, Brockton, MA 02301 Phone: 508-894-0400 Fax: 508-894-0618 | |
Dr. Venkata S H Kalyan Sridhara, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 63 Main St, Brockton, MA 02301 Phone: 508-559-6699 |