| Mr Korey Jalen White, PHYSICIAN ASSISTANT | |
|
55 Fruit Street White 1, Boston, MA 02241-5005 | |
| (617) 724-4100 | |
| (617) 726-7415 |
| Full Name | Mr Korey Jalen White |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 4 Years |
| Location | 55 Fruit Street White 1, Boston, Massachusetts |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063183879 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA8972 (Massachusetts) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Massachusetts General Hospital | Boston, MA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Martha's Vineyard Hospital Inc | 9931166113 | 150 |
| Massachusetts General Physicians Organization Inc | 2466365820 | 3494 |
| 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 | Martha's Vineyard Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194866210 PECOS PAC ID: 9931166113 Enrollment ID: O20041220000589 |
| 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 |
| Entity Name | Martha's Vineyard Hospital Inc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1134206386 PECOS PAC ID: 9931166113 Enrollment ID: O20210819001040 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Korey Jalen White, PHYSICIAN ASSISTANT 55 Fruit St, Boston, MA 02114-2621 Ph: (413) 530-5633 | Mr Korey Jalen White, PHYSICIAN ASSISTANT 55 Fruit Street White 1, Boston, MA 02241-5005 Ph: (617) 724-4100 |
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 |