| Marco Leonardo Caicedo, MD | |
|
25 Staniford St, Commonwealth Of Mass-erich Lindemann Mhc, Boston, MA 02114-2503 | |
| (617) 626-6953 | |
| (617) 305-9958 |
| Full Name | Marco Leonardo Caicedo |
|---|---|
| Gender | Male |
| Speciality | Psychiatry |
| Experience | 38 Years |
| Location | 25 Staniford St, Boston, 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 |
|---|---|---|---|
| 1972535664 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 156043 (Massachusetts) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| The Commonwealth Of Massachusetts | 8820906860 | 127 |
| Entity Name | Pratt Psychiatric Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245270875 PECOS PAC ID: 8921999525 Enrollment ID: O20040323000956 |
| Entity Name | The Commonwealth Of Massachusetts |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285759464 PECOS PAC ID: 8820906860 Enrollment ID: O20040819000765 |
| Entity Name | Tufts Medical Center, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730132515 PECOS PAC ID: 3274442223 Enrollment ID: O20050120000316 |
| Mailing Address | Practice Location Address |
|---|---|
| Marco Leonardo Caicedo, MD 1597 Washington St, Boston, MA 02118-1915 Ph: (617) 708-8300 | Marco Leonardo Caicedo, MD 25 Staniford St, Commonwealth Of Mass-erich Lindemann Mhc, Boston, MA 02114-2503 Ph: (617) 626-6953 |
Dr. Lee Edwin Goldstein, M.D., PH.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 670 Albany St, Boston, MA 02118 Phone: 617-414-8361 Fax: 617-414-7073 | |
Dr. Joseph Yeretsian, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 361 Newbury St Fl 5, Boston, MA 02115 Phone: 617-865-4910 Fax: 617-507-1426 | |
Dr. Michael Gulliver Erkkinen, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 75 Francis St, Boston, MA 02115 Phone: 617-732-5500 | |
Dr. Joseph Jeffrey Taylor, M.D., PH.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 60 Fenwood Rd, Boston, MA 02115 Phone: 617-732-5500 | |
Sanjay Menon, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 55 Fruit St., Massachusetts General Hospital, Boston, MA 02114 Phone: 857-238-5600 | |
Fatemeh Mohammadpour Touserkani, Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 300 Longwood Ave, Boston, MA 02115 Phone: 617-355-6000 | |
Lara Basovic, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 55 Fruit St, Boston, MA 02114 Phone: 617-726-3311 |