Boston Public Health Commission
A Medicare group practice based in Boston, MA: 4 NPIs enrolled under one PECOS associate control ID (PAC ID 2365571650), with 6 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 2365571650
- Provider type
- Part B Supplier - Ambulance Service Supplier, Part B Supplier - Clinic/Group Practice, Part B Supplier - Mass Immunization (Roster Biller Only)
- Enrolled in
- MA
- Enrollments
- 3
- Group size
- 4 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 23
Enrollment records 3
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20100525000617 | MA | Part B Supplier - Ambulance Service Supplier | 1124342282 |
| O20130920000096 | MA | Part B Supplier - Clinic/Group Practice | 1063431492 |
| O20201218001824 | MA | Part B Supplier - Mass Immunization (Roster Biller Only) | 1124342282 |
NPIs in this group 4
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Boston Public Health Commission
dba Substance Abuse Services
- Public Health or Welfare Agency
- Boston, MA
- NPI 1063431492
-
Boston Public Health Commission
dba Boston Emergency Medical Services
- Ambulance
- Boston, MA
- NPI 1124342282
-
Boston Public Health Commission
dba Asthma Home Visiting & Immunization Prog.
- Public Health or Welfare Agency
- Boston, MA
- NPI 1114201605
-
Boston Public Health Commission
dba Behavioral Health Services
- Mental Health Clinic/Center (Including Community Mental Health Center)
- South Boston, MA
- NPI 1205231941
Practice locations
- Boston, MA9
- Jamaica Plain, MA2
- Mattapan, MA2
- South Boston, MA2
- Dorchester, MA2
- East Boston, MA1
- Hyde Park, MA1
- Roxbury, MA1
- Dorchester Center, MA1
- Charlestown, MA1
- Allston, MA1
Clinicians 6
Clinicians who reassign their Medicare benefits to this group (6) or whom Care Compare lists as members (4).
-
Hiep Bui, PHD
- Psychologist
- Kingston, NY
- NPI 1598351454
-
Matthew P Conti
- Clinical Social Worker
- Brookline, MA
- NPI 1144901737
-
Gerard Iru Irantha Fernando, M.D.
- Psychiatry Physician
- Bakersfield, CA
- NPI 1750645024
-
Quinlan Patrick Taylor
- Mental Health Counselor
- Boston, MA
- NPI 1336893551
-
Catherine B Theriault
- Clinical Social Worker
- South Boston, MA
- NPI 1457808263
-
Andrew Ward, LICSW
- Clinical Social Worker
- Wayland, MA
- NPI 1841328630
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.