Hannah Rebeccah Abrams

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Boston, MA

NPI 1689200669 · NPPES record last updated Mar 21, 2020

Key facts

NPI
1689200669
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
55 Fruit St
Boston, MA 02114-2696
Phone
(617) 307-0896
NPI assigned
Mar 21, 2020
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20201104002196 MA Order and Referring Only - Internal Medicine
Practitioner - Internal Medicine
1658781562

National Provider Directory

Medicare enrollment (NPD)
Yes

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Yes

Addresses

Primary practice location

55 Fruit St
Boston, MA 02114-2696

Mailing address

1755 Wyndale St Apt 227
Houston, TX 77030-4161
Phone (832) 613-5546

Other providers in Boston, MA

All providers in Boston, MA · Student in an Organized Health Care Education/Training Program in Massachusetts

Sources for this page

Verify at the official NPI Registry.