| Nicole Jardin Pecquex, MD | |
|
11 Nevins St, Suite 201, Brighton, MA 02135-3514 | |
| (617) 789-2442 | |
| (617) 202-4349 |
| Full Name | Nicole Jardin Pecquex |
|---|---|
| Gender | Female |
| Speciality | General Surgery |
| Experience | 27 Years |
| Location | 11 Nevins St, Brighton, 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 |
|---|---|---|---|
| 1467447300 | NPI | - | NPPES |
| 2031370 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 219025 (Massachusetts) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Bmc Affiliated Physicians, Inc. | 9830133123 | 376 |
| Entity Name | Bmc Affiliated Physicians, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245320910 PECOS PAC ID: 9830133123 Enrollment ID: O20050617000054 |
| Entity Name | Steward Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629398219 PECOS PAC ID: 2860688728 Enrollment ID: O20101119000007 |
| Entity Name | Steward Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629398219 PECOS PAC ID: 2860688728 Enrollment ID: O20101119000332 |
| Entity Name | Revere Medical Of Massachusetts Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336976539 PECOS PAC ID: 0749715795 Enrollment ID: O20241127001349 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Jardin Pecquex, MD 960 Massachusetts Ave, Fl 2, Boston, MA 02118-2690 Ph: () - | Nicole Jardin Pecquex, MD 11 Nevins St, Suite 201, Brighton, MA 02135-3514 Ph: (617) 789-2442 |
Zahra Alhajji, Surgery Medicare: Accepting Medicare Assignments Practice Location: 736 Cambirdge St, Brighton, MA 02135 Phone: 617-789-2990 Fax: 617-789-3419 | |
Oseogie Okojie, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 736 Cambridge St, Brighton, MA 02135 Phone: 617-789-2777 | |
Dr. Maria Arshanskiy, MD Surgery Medicare: Medicare Enrolled Practice Location: 736 Cambridge St, Brighton, MA 02135 Phone: 617-789-2990 | |
Marvin J Lopez, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 11 Nevins St, Ste 201, Brighton, MA 02135 Phone: 617-789-2442 Fax: 617-789-4207 | |
Dr. Edward Michael Dussom, MD Surgery Medicare: Medicare Enrolled Practice Location: 736 Cambridge St, Brighton, MA 02135 Phone: 617-789-3000 | |
Dr. Aaron Richard Dezube, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 11 Nevins St, Suite 201, Brighton, MA 02135 Phone: 617-789-2442 Fax: 617-202-4349 | |
Grace Lassiter, MD Surgery Medicare: Medicare Enrolled Practice Location: 736 Cambridge St, Brighton, MA 02135 Phone: 617-789-2000 |