| Dr Kimberly Tyxine Thurmond, DPM | |
|
45 Dimock St, Roxbury, MA 02119-1208 | |
| (617) 442-8800 | |
| (617) 442-4088 |
| Full Name | Dr Kimberly Tyxine Thurmond |
|---|---|
| Gender | Female |
| Speciality | Podiatry |
| Experience | 29 Years |
| Location | 45 Dimock St, Roxbury, Massachusetts |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376557942 | NPI | - | NPPES |
| Y71094 | Other | MA | BLUE CROSS BLUE SHIELD |
| 0362280 | Medicaid | MA | |
| 480033626 | Other | MA | MEDICARE RAILROAD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | 2180 (Massachusetts) | Secondary |
| 213ES0131X | Podiatrist - Foot Surgery | 2180 (Massachusetts) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Fenway Community Health Center, Inc | 0941299655 | 78 |
| Erickson Health Medical Group Of Massachusetts Pc | 4183528300 | 18 |
| Dimock Community Health Center, Inc. | 7012810492 | 29 |
| Provider Name | Erickson Health Medical Group Of Massachusetts Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1164442919 PECOS PAC ID: 4183528300 Enrollment ID: O20031120000423 |
| Provider Name | Dimock Community Health Center, Inc. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1588719488 PECOS PAC ID: 7012810492 Enrollment ID: O20040202000242 |
| Provider Name | Fenway Community Health Center, Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1003804725 PECOS PAC ID: 0941299655 Enrollment ID: O20040508000030 |
| Provider Name | Advanced Foot Care, Inc. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1982774998 PECOS PAC ID: 0941291884 Enrollment ID: O20040520000302 |
| Provider Name | Brian D Tedesco, Dpm & George A Abboud, Dpm Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1114981487 PECOS PAC ID: 7517060593 Enrollment ID: O20070312000526 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kimberly Tyxine Thurmond, DPM 84 Elmer Rd, Weymouth, MA 02190-1202 Ph: (781) 335-0433 | Dr Kimberly Tyxine Thurmond, DPM 45 Dimock St, Roxbury, MA 02119-1208 Ph: (617) 442-8800 |