| Lown Cardiovascular Group, Inc. | |
|
830 Boylston Street, Suite 205 Chestnut Hill MA 02467 | |
| (617) 732-1318 | |
| (617) 734-5763 |
| Full Name | Lown Cardiovascular Group, Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 830 Boylston Street, Suite 205, Chestnut Hill, Massachusetts |
| Authorized Official Name and Position | Brian Zane Bilchik (DIRECTOR) |
| Authorized Official Contact | 6177321318 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lown Cardiovascular Group, Inc. 830 Boylston Street, Suite 205 Chestnut Hill MA 02467 Ph: (617) 732-1318 | Lown Cardiovascular Group, Inc. 830 Boylston Street, Suite 205 Chestnut Hill MA 02467 Ph: (617) 732-1318 |
| NPI Number | 1821047630 |
|---|---|
| Provider Enumeration Date | 05/09/2006 |
| Last Update Date | 05/18/2022 |
| Certification Date | 05/18/2022 |
| Medicare PECOS PAC ID | 1254395536 |
|---|---|
| Medicare Enrollment ID | O20041116000958 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821047630 | NPI | - | NPPES |
| 9723331 | Medicaid | MA |
| Provider Name | Samuel Ravid |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1699731885 PECOS PAC ID: 0941257059 Enrollment ID: I20050331001010 |
| Provider Name | Charles M Blatt |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1043277619 PECOS PAC ID: 8224077177 Enrollment ID: I20050429000172 |
| Provider Name | Alyson L Kelley-hedgepeth |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1679552582 PECOS PAC ID: 1951490440 Enrollment ID: I20071207000092 |
| Provider Name | Joel T Katz |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1760448005 PECOS PAC ID: 0042380081 Enrollment ID: I20080603000669 |
| Provider Name | Brian Zane Bilchik |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1205892957 PECOS PAC ID: 5193840148 Enrollment ID: I20100914000588 |
| Provider Name | Carissa Kelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821307646 PECOS PAC ID: 2264627132 Enrollment ID: I20101117001009 |
| Provider Name | Dara Kim Lee Lewis |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1578692018 PECOS PAC ID: 7719049212 Enrollment ID: I20130619000442 |
| Provider Name | Kristian Bakken |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285031278 PECOS PAC ID: 9739463225 Enrollment ID: I20170301000131 |
| Provider Name | Jonathan E. Gerbode-grant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780174086 PECOS PAC ID: 2365794567 Enrollment ID: I20181017001285 |
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