Chmc Otolaryngologic Foundation, Inc - Medicare in Boston, MA

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Chmc Otolaryngologic Foundation, Inc is a medicare enrolled "Otolaryngology" provider in Boston, Massachusetts. Their current practice location is 300 Longwood Ave, Boston, Massachusetts. You can reach out to their office (for appointments etc.) via phone at (617) 355-6460.

Chmc Otolaryngologic Foundation, Inc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Chmc Otolaryngologic Foundation, Inc is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1124118229.

Contact Information

Chmc Otolaryngologic Foundation, Inc
300 Longwood Ave,
Boston, MA 02115-5724
(617) 355-6460
(617) 730-0611

Map and Direction




Healthcare Provider's Profile

Full NameChmc Otolaryngologic Foundation, Inc
TypeFacility
SpecialityOtolaryngology
Location300 Longwood Ave, Boston, Massachusetts
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1124118229
  • Provider Enumeration Date: 10/13/2006
  • Last Update Date: 12/11/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 9234102526
  • Enrollment ID: O20040816000514

Medical Identifiers

Medical identifiers for Chmc Otolaryngologic Foundation, Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124118229NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
235Z00000XSpeech-language Pathologist (* (Not Available))Secondary
363AS0400XPhysician Assistant - Surgical (* (Not Available))Secondary
103TC0700XPsychologist - Clinical (* (Not Available))Secondary
207YP0228XOtolaryngology - Pediatric Otolaryngology (* (Not Available))Secondary
231H00000XAudiologist (* (Not Available))Secondary
207Y00000XOtolaryngology (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Chmc Otolaryngologic Foundation, Inc acts as a billing entity for following providers:
Provider NameDennis S Poe
Provider TypePractitioner - Otolaryngology
Provider IdentifiersNPI Number: 1699749002
PECOS PAC ID: 4082654025
Enrollment ID: I20050509000853
Provider NameMargaret A Kenna
Provider TypePractitioner - Otolaryngology
Provider IdentifiersNPI Number: 1689646366
PECOS PAC ID: 6406892652
Enrollment ID: I20050628001272
Provider NameHeather Rauch
Provider TypePractitioner - Qualified Audiologist
Provider IdentifiersNPI Number: 1457320251
PECOS PAC ID: 0446251326
Enrollment ID: I20070119000041
Provider NameReza Rahbar
Provider TypePractitioner - Otolaryngology
Provider IdentifiersNPI Number: 1780657494
PECOS PAC ID: 1951484047
Enrollment ID: I20080213000187
Provider NameRoger Charles Nuss
Provider TypePractitioner - Otolaryngology
Provider IdentifiersNPI Number: 1770556458
PECOS PAC ID: 0840374336
Enrollment ID: I20080221000588
Provider NameGuangwei Zhou
Provider TypePractitioner - Qualified Audiologist
Provider IdentifiersNPI Number: 1336203330
PECOS PAC ID: 2163596719
Enrollment ID: I20080731000272
Provider NameGi Soo Lee
Provider TypePractitioner - Otolaryngology
Provider IdentifiersNPI Number: 1265444749
PECOS PAC ID: 0345308995
Enrollment ID: I20081025000144
Provider NameSusan M Gibbons
Provider TypePractitioner - Qualified Audiologist
Provider IdentifiersNPI Number: 1912199308
PECOS PAC ID: 9931268893
Enrollment ID: I20081106000539
Provider NameLisa Walker
Provider TypePractitioner - Qualified Audiologist
Provider IdentifiersNPI Number: 1215902903
PECOS PAC ID: 9032272638
Enrollment ID: I20090108000120
Provider NameKaren Watters
Provider TypePractitioner - Otolaryngology
Provider IdentifiersNPI Number: 1609001114
PECOS PAC ID: 1254485097
Enrollment ID: I20090813000558
Provider NameKenneth R Whittemore
Provider TypePractitioner - Otolaryngology
Provider IdentifiersNPI Number: 1295767184
PECOS PAC ID: 0244377059
Enrollment ID: I20091028000142
Provider NameGreg R Licameli
Provider TypePractitioner - Otolaryngology
Provider IdentifiersNPI Number: 1841263373
PECOS PAC ID: 3274672068
Enrollment ID: I20091208000638
Provider NameRita M Garrido
Provider TypePractitioner - Qualified Audiologist
Provider IdentifiersNPI Number: 1760613814
PECOS PAC ID: 9830221662
Enrollment ID: I20100714000769
Provider NameLaurie A Ohlms
Provider TypePractitioner - Otolaryngology
Provider IdentifiersNPI Number: 1396718078
PECOS PAC ID: 7113114786
Enrollment ID: I20101208000628
Provider NameMichael J Cunningham
Provider TypePractitioner - Otolaryngology
Provider IdentifiersNPI Number: 1811988181
PECOS PAC ID: 5193913374
Enrollment ID: I20110104000088
Provider NameJacob R Brodsky
Provider TypePractitioner - Otolaryngology
Provider IdentifiersNPI Number: 1487819785
PECOS PAC ID: 5395914410
Enrollment ID: I20110808000044
Provider NameKara R Larson
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1164496048
PECOS PAC ID: 7810166931
Enrollment ID: I20110808000067
Provider NameKayla O Hernandez
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1669751244
PECOS PAC ID: 4385815455
Enrollment ID: I20110921000305
Provider NameRachel M Santiago
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1245510577
PECOS PAC ID: 1355515107
Enrollment ID: I20111114000524
Provider NameJennifer A Perez
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1669445383
PECOS PAC ID: 1759542657
Enrollment ID: I20120420000331
Provider NameEelam S Adil
Provider TypePractitioner - Otolaryngology
Provider IdentifiersNPI Number: 1912129990
PECOS PAC ID: 5395994198
Enrollment ID: I20121011000814
Provider NameCarleton Corrales
Provider TypePractitioner - Otolaryngology
Provider IdentifiersNPI Number: 1376814525
PECOS PAC ID: 0244490076
Enrollment ID: I20150113000110
Provider NameAnne F Hseu
Provider TypePractitioner - Otolaryngology
Provider IdentifiersNPI Number: 1477727683
PECOS PAC ID: 1951529072
Enrollment ID: I20150910001228
Provider NameRachel C Rhodes
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1295196897
PECOS PAC ID: 1355649393
Enrollment ID: I20160407001596
Provider NameAaron K Remenschneider
Provider TypePractitioner - Otolaryngology
Provider IdentifiersNPI Number: 1689801482
PECOS PAC ID: 3971763988
Enrollment ID: I20160920002255
Provider NameLindsay B Sobin
Provider TypePractitioner - Otolaryngology
Provider IdentifiersNPI Number: 1518278936
PECOS PAC ID: 8921396664
Enrollment ID: I20161012000467
Provider NameSukgi S Choi
Provider TypePractitioner - Otolaryngology
Provider IdentifiersNPI Number: 1336229079
PECOS PAC ID: 4789853664
Enrollment ID: I20170323000122
Provider NameVictoria C Albano
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1891128146
PECOS PAC ID: 4486953213
Enrollment ID: I20170417001381
Provider NameKate S Mysak
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1801262050
PECOS PAC ID: 6608184684
Enrollment ID: I20180427001699
Provider NameMeredith S Sager
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1306328950
PECOS PAC ID: 1658706585
Enrollment ID: I20200122002470
Provider NameKatie M Fleischman
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1639421498
PECOS PAC ID: 1355660523
Enrollment ID: I20200508000553
Provider NameAiden Shearer
Provider TypePractitioner - Otolaryngology
Provider IdentifiersNPI Number: 1457765224
PECOS PAC ID: 2062638364
Enrollment ID: I20200909001945
Provider NameSara C Gallant
Provider TypePractitioner - Otolaryngology
Provider IdentifiersNPI Number: 1457785297
PECOS PAC ID: 2365862174
Enrollment ID: I20201016001148
Provider NameYasmin S Dever
Provider TypePractitioner - Qualified Audiologist
Provider IdentifiersNPI Number: 1700400421
PECOS PAC ID: 0244620342
Enrollment ID: I20211203001946
Provider NameJuliet Maccrate
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1154905024
PECOS PAC ID: 7719369149
Enrollment ID: I20220802002668
Provider NameBrett L Radosti
Provider TypePractitioner - Qualified Audiologist
Provider IdentifiersNPI Number: 1801308002
PECOS PAC ID: 0244612422
Enrollment ID: I20220804001444
Provider NameNina Ruth Williams
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1407260912
PECOS PAC ID: 6709254006
Enrollment ID: I20221117000950
Provider NameMiriam El-haoui
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1225774334
PECOS PAC ID: 5597137802
Enrollment ID: I20230215001274
Provider NameElizabeth Erickson O'neill
Provider TypePractitioner - Qualified Audiologist
Provider IdentifiersNPI Number: 1073670717
PECOS PAC ID: 2466818984
Enrollment ID: I20230525000351
Provider NameTaryn Elizabeth Cronin
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1083956106
PECOS PAC ID: 6800253162
Enrollment ID: I20230601002585
Provider NameJude Albukhari
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1063084648
PECOS PAC ID: 0941662423
Enrollment ID: I20230815003889
Provider NameCarolyn A Babeu
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1578113502
PECOS PAC ID: 6204281702
Enrollment ID: I20231018000443
Provider NameHolly J Miller
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1790321644
PECOS PAC ID: 7911353156
Enrollment ID: I20231025000919
Provider NameMaria Levit
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1932884582
PECOS PAC ID: 0143676866
Enrollment ID: I20231031003229
Provider NameSabrina Mai Barkal
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1285351825
PECOS PAC ID: 9436505161
Enrollment ID: I20231031003630
Provider NameJessica Renee Handler
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1841660776
PECOS PAC ID: 3678920428
Enrollment ID: I20231115003478
Provider NameKelsey C Mercado
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1093583502
PECOS PAC ID: 4880047505
Enrollment ID: I20240130001272
Provider NameMeaghan E Lussier
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1427800739
PECOS PAC ID: 0143661041
Enrollment ID: I20240509001521
Provider NameBrittany J Bullock
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1053166074
PECOS PAC ID: 1759722556
Enrollment ID: I20240510001354
Provider NameEmma K Rademacher
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1043059926
PECOS PAC ID: 8628510732
Enrollment ID: I20240604003974
Provider NameCorinne C Myjak
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1992548580
PECOS PAC ID: 0244773737
Enrollment ID: I20240625003013
Provider NameClaire Marie Lawlor
Provider TypePractitioner - Otolaryngology
Provider IdentifiersNPI Number: 1760742159
PECOS PAC ID: 0648571695
Enrollment ID: I20240819003429
Provider NameErika Mercier
Provider TypePractitioner - Otolaryngology
Provider IdentifiersNPI Number: 1659844058
PECOS PAC ID: 6608314760
Enrollment ID: I20240820003367
Provider NameJennifer Amato
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1750759940
PECOS PAC ID: 3971915539
Enrollment ID: I20241210000751
Provider NameDerek Jason Stiles
Provider TypePractitioner - Qualified Audiologist
Provider IdentifiersNPI Number: 1750436150
PECOS PAC ID: 2163959354
Enrollment ID: I20241230002857
Provider NameAmal G Awdeh
Provider TypePractitioner - Qualified Audiologist
Provider IdentifiersNPI Number: 1477522993
PECOS PAC ID: 0042734113
Enrollment ID: I20250410000822

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Chmc Otolaryngologic Foundation, Inc is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Chmc Otolaryngologic Foundation, Inc
Po Box 4162,
Woburn, MA 01888-4162

Ph: (617) 355-6460		Chmc Otolaryngologic Foundation, Inc
300 Longwood Ave,
Boston, MA 02115-5724

Ph: (617) 355-6460

Reviews and Comments



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