| Piction Health Medical Group, P.a. | |
|
55 Court St Fl 2 Boston MA 02108-2111 | |
| (617) 902-0443 | |
| Not Available |
| Full Name | Piction Health Medical Group, P.a. |
|---|---|
| Speciality | Dermatology |
| Location | 55 Court St Fl 2, Boston, Massachusetts |
| Authorized Official Name and Position | Niraj Patel (PRESIDENT) |
| Authorized Official Contact | 6179020443 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Piction Health Medical Group, P.a. 55 Court St Fl 2 Boston MA 02108-2111 Ph: () - | Piction Health Medical Group, P.a. 55 Court St Fl 2 Boston MA 02108-2111 Ph: (617) 902-0443 |
| NPI Number | 1700585387 |
|---|---|
| Provider Enumeration Date | 03/02/2023 |
| Last Update Date | 04/01/2024 |
| Medicare PECOS PAC ID | 4486017894 |
|---|---|
| Medicare Enrollment ID | O20230901001815 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700585387 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207N00000X | Dermatology | (* (Not Available)) | Primary |
| Provider Name | Anna Chacon |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1073950689 PECOS PAC ID: 8527207919 Enrollment ID: I20230929002342 |
| Provider Name | Phuong Le |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053566505 PECOS PAC ID: 7315001120 Enrollment ID: I20231023000155 |
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