Jodi Kim Wenger
MD | Pediatrics | Female
Jodi Kim Wenger, MD is a Boston, Massachusetts based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Jodi Kim Wenger is
850 Harrison Ave, Yacc 5, Boston, Massachusetts - 02118-4001. She can be contacted on phone at
617-414-4841 and fax number 617-414-4547.
Jodi Kim Wenger is a sole proprietor of her business.
NPI number (Unique professional ID) for Jodi Kim Wenger is
1942212212 which was assigned by NPPES on 13 Aug, 2006 and it was last updated on 17 Jul, 2014.
Jodi Kim Wenger license number is
150364 for Pediatrics (208000000X) in Massachusetts.
Jodi Kim Wenger is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Jodi Kim Wenger basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Jodi Kim Wenger |
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| Credential : | MD |
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| Gender : | Female |
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Business Address:
Jodi Kim Wenger address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 850 Harrison Ave, Yacc 5
Boston, MA, 02118-4001
United States |
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| Phone Number : | 617-414-4841 |
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| Fax Number : | 617-414-4547 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1942212212 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 13 Aug, 2006 |
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| Last Updated On : | 17 Jul, 2014 |
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Medicare Participation:
Jodi Kim Wenger participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
| Medicare PECOS ID : | 6305860107 |
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| Medicare Enrollment ID : | I20140128000165 |
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| Primary Specialty : | Pediatric Medicine |
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| Medical School : | Geisel School Of Medicine At Dartmouth |
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| Graduation Year : | 1994 |
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| Accepts Medicare? | Yes. Jodi Kim Wenger accepts medicare insurance. |
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Group Practice Association:
Jodi Kim Wenger is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Jodi Kim Wenger is associated with along with the number of members in that group. She may also accept medicare indirectly via these group practices.
| Organisation Name : | Group Practice ID | No. of Members | Practice Address | Group Accepts Medicare |
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| Child Health Foundation Of Boston Inc | 1557263340 | 23 | 850 Harrison Ave
Boston, MA - 021184001
Ph: 6174144841 | Yes |
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jodi Kim Wenger are as mentioned. Primary taxonomy code for Jodi Kim Wenger, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 208000000X | Pediatrics | Yes | 150364 | MA |
Legacy Identifiers:
Other legacy medical identifiers of Jodi Kim Wenger such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 30201703 | MEDICAID | NH | |
| 1008157 | MEDICAID | VT | |
| 110090349A | MEDICAID | MA | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 720 Harrison Ave, Dob 503
Boston, MA, 02118-2371
United States |
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Business Location:
Patients can refer following map for directions to
Jodi Kim Wenger practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.