| Julie Ballo, | |
|
55 Fruit St, Boston, MA 02114-2696 | |
| (617) 726-2000 | |
| Not Available |
| Full Name | Julie Ballo |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 55 Fruit St, 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 |
|---|---|---|---|
| 1134891450 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
| Entity Name | Massachusetts General Physicians Organization Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801874573 PECOS PAC ID: 2466365820 Enrollment ID: O20031111000434 |
| Entity Name | The General Hospital Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023049236 PECOS PAC ID: 6507803806 Enrollment ID: O20080313000351 |
| Mailing Address | Practice Location Address |
|---|---|
| Julie Ballo, 11 Wheeler Rd, Lexington, MA 02420-2710 Ph: (781) 698-7293 | Julie Ballo, 55 Fruit St, Boston, MA 02114-2696 Ph: (617) 726-2000 |
Cara L Richards, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 75 Francis St, Boston, MA 02115 Phone: 617-732-5500 Fax: 212-590-5581 |
Shawn Maguire, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 450 Brookline Ave, Boston, MA 02215 Phone: 617-582-8487 |
Mr. Timothy Michael Britt, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 725 Albany Street, Shapiro 4, Suite B, Boston, MA 02118 Phone: 617-638-5633 Fax: 617-414-5226 |
Ms. Amy Elizabeth Cotton, PHYSICIAN ASSISTANT Physician Assistant Medicare: Medicare Enrolled Practice Location: 75 Francis St, Boston, MA 02115 Phone: 617-732-5500 |
Bridget N. Babich-wydysh, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1 Boston Medical Center Place, C500, Boston, MA 02118 Phone: 617-638-8609 Fax: 617-638-8607 |
Mark Branton, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 55 Fruit St, Boston, MA 02114 Phone: 617-726-7400 |
Sara Elizabeth Grosslein, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 55 Fruit Street, White 1, Boston, MA 02114 Phone: 617-724-4100 Fax: 617-726-7415 |