| Innovare Medical, Pc | |
|
1180 Beacon St Ste 4a Brookline MA 02446-3806 | |
| (508) 654-8496 | |
| Not Available |
| Full Name | Innovare Medical, Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1180 Beacon St Ste 4a, Brookline, Massachusetts |
| Authorized Official Name and Position | Ping Jin (SECRETARY) |
| Authorized Official Contact | 7746417020 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Innovare Medical, Pc 187 Rice Rd Wayland MA 01778-2808 Ph: () - | Innovare Medical, Pc 1180 Beacon St Ste 4a Brookline MA 02446-3806 Ph: (508) 654-8496 |
| NPI Number | 1184455438 |
|---|---|
| Provider Enumeration Date | 08/09/2024 |
| Last Update Date | 08/09/2024 |
| Medicare PECOS PAC ID | 4385176908 |
|---|---|
| Medicare Enrollment ID | O20241021000871 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184455438 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 207RN0300X | Internal Medicine - Nephrology | (* (Not Available)) | Secondary |
| Provider Name | Hua Ann Jenny Lu |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1043288749 PECOS PAC ID: 6305865700 Enrollment ID: I20051115000718 |
Philip L Goldsmith Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1101 Beacon St, Brookline, MA 02446 Phone: 617-277-6006 Fax: 617-730-9936 | |
Joseph Pines, M.d.,l.l.c Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Brookline Pl, Suite 623, Brookline, MA 02445 Phone: 617-731-0227 Fax: 617-734-9274 | |
Karaya Wellness Clinic Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1751 Beacon St, Brookline, MA 02445 Phone: 617-232-7566 Fax: 617-232-7613 | |
Amy Edalji Md & R Roger Komer Md Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1180 Beacon St, Suite 5a, Brookline, MA 02446 Phone: 617-739-6300 Fax: 617-734-8484 | |
Viola, Alliegro & Erler Medical Associates, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 77 Pond Ave, Suite 104c, Brookline, MA 02445 Phone: 617-566-3900 Fax: 617-232-3762 | |
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