| Mr Ilia J Coka, MD | |
|
4199 Washington St, Roslindale, MA 02131 | |
| (617) 323-4440 | |
| (617) 323-7870 |
| Full Name | Mr Ilia J Coka |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 4199 Washington St, Roslindale, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083693386 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 224277 (Massachusetts) | Primary |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Ilia J Coka, MD 4199 Washington St, Roslindale, MA 02131 Ph: (617) 323-4440 | Mr Ilia J Coka, MD 4199 Washington St, Roslindale, MA 02131 Ph: (617) 323-4440 |
Mary Woodward, NP Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1200 Centre St, Department Of Medicine, Roslindale, MA 02131 Phone: 617-363-8449 | |
Dr. Camille Nakita Rivers, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4199 Washington Street, Roslindale, MA 02131 Phone: 617-323-4440 | |
Ms. Olivia Justine Liff, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1200 Centre St, Roslindale, MA 02131 Phone: 617-363-8010 Fax: 617-363-8929 | |
Ms. Carol A Oneil, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 4199 Washington St, Roslindale, MA 02131 Phone: 617-323-4440 Fax: 617-323-7870 | |
Dr. James Constantinos Salemis, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 149 Belgrade Ave, Roslindale, MA 02131 Phone: 617-327-4698 Fax: 617-327-9587 | |
Alison T. Presti, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4199 Washington St, Roslindale, MA 02131 Phone: 617-414-4440 Fax: 617-323-7870 |