| Monika Masanam, | |
|
55 Lake Ave N, Worcester, MA 01655-0002 | |
| (508) 334-5220 | |
| (774) 441-6790 |
| Full Name | Monika Masanam |
|---|---|
| Gender | Female |
| Speciality | Surgery - Surgical Oncology |
| Location | 55 Lake Ave N, Worcester, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801356266 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 1016990 (Massachusetts) | Secondary |
| 2086X0206X | Surgery - Surgical Oncology | 1016990 (Massachusetts) | Primary |
| Entity Name | Massachusetts General Physicians Organization Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801874573 PECOS PAC ID: 2466365820 Enrollment ID: O20031111000434 |
| Entity Name | The General Hospital Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023049236 PECOS PAC ID: 6507803806 Enrollment ID: O20080313000351 |
| Entity Name | Brigham & Womens Physicians Organization Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033535497 PECOS PAC ID: 3870405988 Enrollment ID: O20150107001260 |
| Mailing Address | Practice Location Address |
|---|---|
| Monika Masanam, Po Box 415348, Boston, MA 02241-5348 Ph: () - | Monika Masanam, 55 Lake Ave N, Worcester, MA 01655-0002 Ph: (508) 334-5220 |
Elizabeth A Mahanor, MD Surgery Medicare: May Accept Medicare Assignments Practice Location: 123 Summer St, Worcester, MA 01608 Phone: 508-368-3190 Fax: 508-368-3193 | |
Dr. Craig A Paterson, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 119 Belmont St, Department Of General Surgery, Worcester, MA 01605 Phone: 508-334-8195 | |
Dr. John M Castle, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 281 Lincoln St, Department Of Surgery, Worcester, MA 01605 Phone: 508-334-5958 Fax: 508-334-5752 | |
Frank Traupman, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 281 Lincoln St, Medical Staff Svcs, Worcester, MA 01605 Phone: 508-334-8015 | |
Dr. Stephanie Preston, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 281 Lincoln St, Worcester, MA 01605 Phone: 508-334-5958 Fax: 508-334-5152 | |
Mary Elise Huerter, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 55 Lake Ave N, Worcester, MA 01655 Phone: 508-334-3278 Fax: 508-334-7284 | |
Jennifer Fantasia, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 33 Kendall St, Worcester, MA 01605 Phone: 083-348-7655 Fax: 508-334-9477 |