| Scott Michael Herman, PA-C, MHP | |
|
330 Brookline Ave, Beth Israel Deconess Med Ctr, Boston, MD 02215-2215 | |
| (617) 632-8069 | |
| Not Available |
| Full Name | Scott Michael Herman |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant - Surgical |
| Location | 330 Brookline Ave, Boston, Maryland |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497919211 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AS0400X | Physician Assistant - Surgical | 111 (Massachusetts) | Primary |
| Entity Name | Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194765438 PECOS PAC ID: 4486567104 Enrollment ID: O20031204000918 |
| Entity Name | Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972544591 PECOS PAC ID: 4486567104 Enrollment ID: O20040315000691 |
| Entity Name | Beth Israel Deaconess Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548202641 PECOS PAC ID: 8123936119 Enrollment ID: O20041001000827 |
| Mailing Address | Practice Location Address |
|---|---|
| Scott Michael Herman, PA-C, MHP 330 Brookline Ave, Beth Israel Deconess Med Ctr, Boston, MA 02215-2215 Ph: (617) 632-8069 | Scott Michael Herman, PA-C, MHP 330 Brookline Ave, Beth Israel Deconess Med Ctr, Boston, MD 02215-2215 Ph: (617) 632-8069 |