| Mr Ken Goon, | |
|
273 Billings St, North Quincy, MA 02171-1803 | |
| (617) 686-3746 | |
| Not Available |
| Full Name | Mr Ken Goon |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Acute Care |
| Location | 273 Billings St, North Quincy, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326468083 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2100X | Nurse Practitioner - Acute Care | 2013019065 (Massachusetts) | Primary |
| Entity Name | Bostons Community Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235174418 PECOS PAC ID: 1355390691 Enrollment ID: O20050113000756 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Ken Goon, 273 Billings St, North Quincy, MA 02171-1803 Ph: () - | Mr Ken Goon, 273 Billings St, North Quincy, MA 02171-1803 Ph: (617) 686-3746 |
Ms. Tamar E Siracusa, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 110 W Squantum St, North Quincy, MA 02171 Phone: 617-376-3000 Fax: 617-774-1905 | |
Ms. Iris C Wong, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 110 W Squantum St, North Quincy, MA 02171 Phone: 617-376-3000 Fax: 617-376-3024 | |
Samantha Nortelus, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 110 W Squantum St, North Quincy, MA 02171 Phone: 617-376-3000 | |
Cheryl Ann Bliss, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 110 W Squantum St, North Quincy, MA 02171 Phone: 617-376-3000 Fax: 617-690-6902 | |
Murielle Pierre-joachim, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 110 W Squantum St, North Quincy, MA 02171 Phone: 617-404-4117 | |
Mrs. Imane Ouahidi, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 110 W Squantum St, North Quincy, MA 02171 Phone: 617-376-3000 |