| Theodore C Weatherwax, MD | |
|
55 Fruit St, Boston, MA 02114-2621 | |
| (617) 726-3557 | |
| Not Available |
| Full Name | Theodore C Weatherwax |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 8 Years |
| Location | 55 Fruit St, Boston, Massachusetts |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144882879 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MDRE.ML.60958797 (Washington) | Secondary |
| 207QA0401X | Family Medicine - Addiction Medicine | 291350 (Massachusetts) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Astria Sunnyside Hospital | Sunnyside, WA | Hospital |
| Phs Indian Hospital At Rosebud | Rosebud, SD | Hospital |
| Cascade Medical Center | Leavenworth, WA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sunnyside Emergency Group A Professional Llc | 0941424451 | 18 |
| Dhhs Ihs Phoenix Area | 9436325420 | 38 |
| Rosebud Indian Health Service | 6901704055 | 109 |
| Massachusetts General Physicians Organization Inc | 2466365820 | 3510 |
| Mailing Address | Practice Location Address |
|---|---|
| Theodore C Weatherwax, MD 2209 E 32nd St, Tacoma, WA 98404-4922 Ph: (253) 593-0232 | Theodore C Weatherwax, MD 55 Fruit St, Boston, MA 02114-2621 Ph: (617) 726-3557 |
Lidya H Wlasiuk, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 850 Harrison Ave, Yacc 5, Boston, MA 02118 Phone: 617-414-2080 Fax: 617-414-2090 | |
Nestor Alejandro Sainz Rueda, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 55 Fruit St, Boston, MA 02114 Phone: 800-711-4644 | |
Madhuri Preeti Rao, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 55 Fruit St, Boston, MA 02114 Phone: 617-889-8580 | |
Brian R Penti, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 850 Harrison Ave, Yacc 4, Boston, MA 02118 Phone: 617-414-2080 Fax: 617-414-2090 | |
Shahnaz Rahman, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 820 Harrison Ave, Boston, MA 02118 Phone: 404-259-4008 | |
Dr. Victor Wan, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 800 Washington St, Boston, MA 02111 Phone: 617-636-5000 | |
Dr. Amy Min He, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 637 Washington St, Boston, MA 02124 Phone: 617-825-9660 |