| William Davenport Powlis, MD | |
|
101 Columbian St, Radiation Oncology, South Weymouth, MA 02190-1601 | |
| (781) 624-4700 | |
| (781) 624-4710 |
| Full Name | William Davenport Powlis |
|---|---|
| Gender | Male |
| Speciality | Radiology - Radiation Oncology |
| Location | 101 Columbian St, South Weymouth, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083656771 | NPI | - | NPPES |
| 0011060870002 | Medicaid | TN | |
| 487351 | Other | PA | HIGHMARK BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0001X | Radiology - Radiation Oncology | MD027906E (Pennsylvania) | Secondary |
| 2085R0001X | Radiology - Radiation Oncology | 38122 (Massachusetts) | Primary |
| Entity Name | Dana-farber Cancer Institute, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851333686 PECOS PAC ID: 9133038904 Enrollment ID: O20040223000228 |
| Entity Name | Radiation Therapy Of Southeastern Mass, Llc |
|---|---|
| Entity Type | Part B Supplier - Radiation Therapy Center |
| Entity Identifiers | NPI Number: 1104978519 PECOS PAC ID: 9335248343 Enrollment ID: O20070615000252 |
| Entity Name | Brigham & Womens Physicians Organization Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033535497 PECOS PAC ID: 3870405988 Enrollment ID: O20150107001260 |
| Mailing Address | Practice Location Address |
|---|---|
| William Davenport Powlis, MD 101 Columbian St, Radiation Oncology, South Weymouth, MA 02190-1601 Ph: (781) 624-4700 | William Davenport Powlis, MD 101 Columbian St, Radiation Oncology, South Weymouth, MA 02190-1601 Ph: (781) 624-4700 |
James N Suojanen, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 55 Fogg Rd, South Weymouth, MA 02190 Phone: 781-337-7011 | |
Sana Majid, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 55 Fogg Rd, South Weymouth, MA 02190 Phone: 781-340-8000 | |
Robert L Gore, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 55 Fogg Rd, South Weymouth, MA 02190 Phone: 781-337-7011 | |
Dr. Nathaniel N Temin, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 55 Fogg Rd, South Weymouth, MA 02190 Phone: 781-624-8493 | |
Russell Kelley, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 55 Fogg Rd, South Weymouth, MA 02190 Phone: 781-337-7011 | |
Dr. Rafael Antonio Altieri, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 55 Fogg Rd, South Weymouth, MA 02190 Phone: 781-344-8000 |