Ms. Rebecca Sussanne Beroukhim

M.D. | Pediatric Cardiology | Female

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Complete Profile:

Ms. Rebecca Sussanne Beroukhim basic information including her official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Pediatric Cardiology
Provider Name :	Ms. Rebecca Sussanne Beroukhim
Credential :	M.D.
Gender :	Female
Sole Proprietor :	Yes

Business Address:

Ms. Rebecca Sussanne Beroukhim 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 :	300 Longwood Ave, Department Of Cardiology Boston, MA, 02115 United States
Phone Number :	617-355-8165

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 :	1578687109
NPI Entity Type :	Individual
First Enrolment Date :	19 Mar, 2007
Last Updated On :	02 Jan, 2013

Medicare Participation:

Ms. Rebecca Sussanne Beroukhim participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	2961595574
Medicare Enrollment ID :	I20070912000214
Primary Specialty :	Pediatric Medicine
Medical School :	Medical College Of Wisconsin
Graduation Year :	2000
Accepts Medicare?	Yes. Ms. Rebecca Sussanne Beroukhim accepts medicare insurance.

Group Practice Association:

Ms. Rebecca Sussanne Beroukhim 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 Ms. Rebecca Sussanne Beroukhim 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
Boston Childrens Heart Foundation Inc	8729071675	76	300 Longwood Ave Boston, MA - 021155724 Ph: 6173556000	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 Ms. Rebecca Sussanne Beroukhim are as mentioned. Primary taxonomy code for Ms. Rebecca Sussanne Beroukhim, M.D. is 2080P0202X (Pediatrics Pediatric Cardiology).

Taxonomy Code	Speciality	Primary	License No.	State
208000000X	Pediatrics	No	229461	MA
2080P0202X	Pediatrics Pediatric Cardiology	Yes	229461	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 :	300 Longwood Ave, Department Of Cardiology Boston, MA, 02115-5724 United States
Phone Number :	617-355-8165

Business Location:

Patients can refer following map for directions to Ms. Rebecca Sussanne Beroukhim practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.