| Rajneesh S Hazarika, MD | |
|
10 Gove St, East Boston, MA 02128-1920 | |
| (617) 569-5800 | |
| (617) 568-4780 |
| Full Name | Rajneesh S Hazarika |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 10 Gove St, East Boston, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841394707 | NPI | - | NPPES |
| 221845 | Other | MA | UGS |
| J42315 | Other | MA | BLUE SHIELD OF MA |
| 1319833 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 230178 (Massachusetts) | Primary |
| Entity Name | Community Health Connections, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477580827 PECOS PAC ID: 8729074992 Enrollment ID: O20040422001136 |
| Entity Name | Internal Medical Associates-ebnhc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558481879 PECOS PAC ID: 6103814371 Enrollment ID: O20040505000853 |
| Entity Name | Total Wellness Centers Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770816506 PECOS PAC ID: 2860536919 Enrollment ID: O20100628000153 |
| Entity Name | East Boston Neighborhood Health Center Corp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316994411 PECOS PAC ID: 9032356050 Enrollment ID: O20130513000045 |
| Mailing Address | Practice Location Address |
|---|---|
| Rajneesh S Hazarika, MD 10 Gove St, East Boston, MA 02128-1920 Ph: (617) 569-5800 | Rajneesh S Hazarika, MD 10 Gove St, East Boston, MA 02128-1920 Ph: (617) 569-5800 |
Anu Rupa Mehra, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 10 Gove St, East Boston, MA 02128 Phone: 617-569-5800 Fax: 617-568-4780 | |
Shereen Mohiuddin, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 10 Gove St, East Boston, MA 02128 Phone: 617-569-5800 Fax: 617-568-4780 | |
Karin Leschly, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10 Gove St, East Boston, MA 02128 Phone: 617-569-5800 Fax: 617-568-4780 | |
Charles T Williams, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10 Gove St, East Boston, MA 02128 Phone: 617-569-5800 Fax: 617-568-4780 | |
Jennifer L Pfau, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10 Gove St, East Boston, MA 02128 Phone: 617-569-5800 Fax: 617-568-4780 | |
Olivia Plato Patsos, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 20 Maverick Sq, East Boston, MA 02128 Phone: 617-569-5800 Fax: 617-568-4585 | |
Dr. Jackie S Fantes, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10 Gove St, East Boston, MA 02128 Phone: 617-569-5800 Fax: 617-568-4780 |