| Samantha Rivard, MD | |
|
725 Albany Street, Suite 6b, Shapiro Bldg., Boston, MA 02118 | |
| (617) 414-8054 | |
| (617) 414-8055 |
| Full Name | Samantha Rivard |
|---|---|
| Gender | Female |
| Speciality | Surgery |
| Location | 725 Albany Street, Suite 6b, 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 |
|---|---|---|---|
| 1184073975 | NPI | - | NPPES |
| 110202679A | Medicaid | MA | |
| 3146581 | Medicaid | NH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 1020656 (Massachusetts) | Primary |
| 208C00000X | Colon & Rectal Surgery | 1020656 (Massachusetts) | Secondary |
| Entity Name | Boston University General Surgical Associates, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104865567 PECOS PAC ID: 9830183763 Enrollment ID: O20040513000398 |
| Mailing Address | Practice Location Address |
|---|---|
| Samantha Rivard, MD 960 Massachusetts Avenue, Fl 2, Boston, MA 02118-2690 Ph: () - | Samantha Rivard, MD 725 Albany Street, Suite 6b, Shapiro Bldg., Boston, MA 02118 Ph: (617) 414-8054 |
Hugh G Auchincloss, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: Massachusetts General Hospital, 55 Fruit Street, Boston, MA 02114 Phone: 617-726-2000 | |
Nicole J Look-hong, MD, MSC Surgery Medicare: Medicare Enrolled Practice Location: Massachusetts General Hospital, 55 Fruit St., Boston, MA 02114 Phone: 617-724-3868 | |
Dr. Joanna Wolf Etra, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 110 Francis St Ste 9b, Boston, MA 02215 Phone: 617-632-9513 | |
Huseyin Akin Erol, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 75 Francis St, Boston, MA 02115 Phone: 617-732-5500 | |
Michael Tarnoff, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 800 Washington St, Nemc Box 7105, Boston, MA 02111 Phone: 617-636-5000 | |
Parsia A Vagefi, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: Massachusetts General Hospital, 55 Fruit Street, Boston, MA 02114 Phone: 617-726-2066 | |
Wael Abdullah Alshehri, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 800 Washington St, Box 836, Boston, MA 02111 Phone: 617-636-1619 |