| Mariko Shimizu, | |
|
1493 Cambridge St, Cambridge, MA 02139-1099 | |
| (617) 665-1000 | |
| Not Available |
| Full Name | Mariko Shimizu |
|---|---|
| Gender | Female |
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 1493 Cambridge St, Cambridge, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750813861 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | MD-22378 (Hawaii) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 286594 (Massachusetts) | Primary |
| Entity Name | The Queens Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487693586 PECOS PAC ID: 3476454067 Enrollment ID: O20040116000366 |
| Entity Name | Queens University Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891441382 PECOS PAC ID: 2466831557 Enrollment ID: O20220621000534 |
| Mailing Address | Practice Location Address |
|---|---|
| Mariko Shimizu, 1493 Cambridge St, Cambridge, MA 02139-1099 Ph: (617) 665-1000 | Mariko Shimizu, 1493 Cambridge St, Cambridge, MA 02139-1099 Ph: (617) 665-1000 |
Lauren Morris, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 77 Massachusetts Ave # E23-368, Cambridge, MA 02139 Phone: 617-253-2916 Fax: 877-932-6537 | |
Omayra Nieves, Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 30 Cambridgepark Dr Apt 6115, Cambridge, MA 02140 Phone: 617-877-5797 | |
Stella J Bae, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 49 Hancock St, Cambridge, MA 02139 Phone: 617-566-1055 | |
Dr. Peter F Wohlauer, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1105 Massachusetts Ave, Suite 2c, Cambridge, MA 02138 Phone: 617-491-2301 | |
Dr. Daniel A Brenner, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 6 Bigelow St, Cambridge, MA 02139 Phone: 617-661-1856 | |
Dr. Priyantha Herath, MD PHD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 675 W Kendall St, Cambridge, MA 02142 Phone: 202-997-0390 | |
Irina Angel, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1611 Cambridge St, Cambridge, MA 02138 Phone: 617-661-5515 Fax: 617-661-5182 |