| Mary Ann Dakkak, MD | |
|
110 W. Squantum St, North Quincy, MA 02171 | |
| (617) 376-3000 | |
| (617) 774-1905 |
| Full Name | Mary Ann Dakkak |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 15 Years |
| Location | 110 W. Squantum St, North Quincy, 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 |
|---|---|---|---|
| 1326313776 | NPI | - | NPPES |
| 110127425A | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 272706 (Massachusetts) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Boston Medical Center | Boston, MA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Boston University Family Medicine Inc | 0446154074 | 64 |
| Boston Medical Center Corporation | 0547222051 | 21 |
| Manet Community Health Center, Inc. | 4486555158 | 45 |
| Entity Name | Boston University Family Medicine Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134166390 PECOS PAC ID: 0446154074 Enrollment ID: O20031125000010 |
| Entity Name | Manet Community Health Center, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114027539 PECOS PAC ID: 4486555158 Enrollment ID: O20040115000950 |
| Entity Name | Boston Medical Center Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386718823 PECOS PAC ID: 0547222051 Enrollment ID: O20050531000034 |
| Entity Name | Boston University Obstetrics And Gynecology Foundation Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063459568 PECOS PAC ID: 1456323153 Enrollment ID: O20070525000149 |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Ann Dakkak, MD 960 Massachusetts Ave, Fl 2, Boston, MA 02118-2690 Ph: () - | Mary Ann Dakkak, MD 110 W. Squantum St, North Quincy, MA 02171 Ph: (617) 376-3000 |
Dr. Vikram Rj Butani, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 110 W Squantum St, North Quincy, MA 02171 Phone: 617-376-3000 Fax: 617-774-1905 | |
Dr. Brian T Kroener, MD, MPH Family Medicine Medicare: Accepting Medicare Assignments Practice Location: Manet Community Health Center, 110 West Squantum Street, North Quincy, MA 02171 Phone: 617-376-3000 | |
Yiming Ding, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2480 Llewellyn Avenue, North Quincy, MA 02171 Phone: 301-677-8998 | |
Katherine R Standish, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 110 W Squantum St Ste 8, North Quincy, MA 02171 Phone: 617-376-3000 | |
Dr. Joshua Lumumba Okallo, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 110 W Squantum St, North Quincy, MA 02171 Phone: 617-376-3000 Fax: 617-690-6902 | |
Hiromichi Miyashita, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 110 W Squantum St, North Quincy, MA 02171 Phone: 617-376-3030 Fax: 617-774-1906 |