| Alexander Kopp, Md, Pc | |
|
2000 Washington St Ste 542 Newton Lower Falls MA 02462-1624 | |
| (617) 527-6200 | |
| (617) 965-5894 |
| Full Name | Alexander Kopp, Md, Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2000 Washington St, Newton Lower Falls, Massachusetts |
| Authorized Official Name and Position | Alexander Kopp (PRESIDENT) |
| Authorized Official Contact | 6175276200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alexander Kopp, Md, Pc 2000 Washington St Ste 542 Newton Lower Falls MA 02462-1624 Ph: (617) 527-6200 | Alexander Kopp, Md, Pc 2000 Washington St Ste 542 Newton Lower Falls MA 02462-1624 Ph: (617) 527-6200 |
| NPI Number | 1730257080 |
|---|---|
| Provider Enumeration Date | 12/02/2006 |
| Last Update Date | 12/18/2013 |
| Medicare PECOS PAC ID | 3870693013 |
|---|---|
| Medicare Enrollment ID | O20070717000393 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730257080 | NPI | - | NPPES |
| 110217745 | Other | MA | RAIL ROAD MEDICARE |
| 9702971 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Kristin B Behenna |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285106856 PECOS PAC ID: 1355673070 Enrollment ID: I20191030002145 |
| Provider Name | Lauren M Murphy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295204014 PECOS PAC ID: 0941532402 Enrollment ID: I20191101001947 |
| Provider Name | Brigid M Koenen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861089765 PECOS PAC ID: 8729476981 Enrollment ID: I20211021001125 |
| Provider Name | Jillian K Barry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396477386 PECOS PAC ID: 3577906130 Enrollment ID: I20240210000142 |
John F. O'brien, M.d., P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2000 Washington St, Suite 662, Newton Lower Falls, MA 02462 Phone: 617-964-9050 Fax: 617-928-0913 | |
Newton-wellesley Internists, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2000 Washington St, Suite 546, Newton Lower Falls, MA 02462 Phone: 617-964-5020 Fax: 617-964-3033 |