| Kristin L Koo, CNM | |
|
850 Harrison Ave, Fl 4, Yawkey Bldg, Boston, MA 02118 | |
| (617) 414-2000 | |
| (617) 414-5798 |
| Full Name | Kristin L Koo |
|---|---|
| Gender | Female |
| Speciality | Advanced Practice Midwife |
| Location | 850 Harrison Ave, Fl 4, 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 |
|---|---|---|---|
| 1588200042 | NPI | - | NPPES |
| 110185546A | Medicaid | MA |
| Entity Name | Internal Medical Associates-ebnhc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558481879 PECOS PAC ID: 6103814371 Enrollment ID: O20040505000853 |
| Entity Name | Boston University Obstetrics And Gynecology Foundation Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063459568 PECOS PAC ID: 1456323153 Enrollment ID: O20070525000149 |
| Entity Name | East Boston Neighborhood Health Center Corp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316994411 PECOS PAC ID: 9032356050 Enrollment ID: O20130513000045 |
| Mailing Address | Practice Location Address |
|---|---|
| Kristin L Koo, CNM 960 Massachusetts Ave, Fl 2, Boston, MA 02118-2690 Ph: () - | Kristin L Koo, CNM 850 Harrison Ave, Fl 4, Yawkey Bldg, Boston, MA 02118 Ph: (617) 414-2000 |
Marie C Henderson, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 55 Fruit Street, Yaw 4, Boston, MA 02114 Phone: 617-724-2229 | |
Jean Ewan, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 850 Harrison Ave, Yawkey 4th Floor, Boston, MA 02118 Phone: 617-414-2000 Fax: 617-414-5798 | |
Emily Mansur Fox, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 725 Albany St, Fl 5, Shapiro Bldg, Boston, MA 02118 Phone: 617-414-2000 Fax: 617-414-5798 | |
Mrs. Stephanie Marisa Mitchell, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 850 Harrison Ave # Yacc5, Boston, MA 02118 Phone: 617-414-2000 Fax: 617-414-5798 | |
Ms. Dorothy Brewin, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 75 Francis St, Boston, MA 02115 Phone: 617-732-5053 | |
Ms. Natalia S Richey, CNM, RN Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 55 Fruit St # 4, Boston, MA 02114 Phone: 617-643-6412 | |
Somphit Chinkam, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 850 Harrison Ave, 5th Fl, Boston, MA 02118 Phone: 617-414-2000 Fax: 617-414-5798 |