CHARLES TREY M D & ASSOCIATES P C (NPI# 1962690461) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1962690461 |
Entity Type | Organization |
Organization Name | CHARLES TREY M D & ASSOCIATES P C |
Practice Address |
110 Francis St Suite 8a Boston MA 02215-5501 |
Practice Telephone | 6176329252 |
Practice Fax Number | 6176329255 |
Mailing Telephone | 6176329252 |
Mailing Fax Number | 6176329255 |
Enumeration Date | 2007-10-09 |
Last Update Date | 2010-04-28 |
Authorized Official Name | DR. GARY TREY (PRESIDENT) |
Authorized Official Telephone | 6176329252 |
Authorized Official Credential | M.D. M.P.H. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 302F00000X | Exclusive Provider Organization | 57207 | MA | Managed Care Organizations |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MA | 9776885 | 05 | |
MA | BLUE CROSS/BLUE SHIELD MA | M16263 | 01 |
Street Address |
110 FRANCIS ST SUITE 8A |
City | BOSTON |
State | MA |
Zip Code | 02215-5501 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982601373 | Richard Ian Whyte | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 110 Francis St, Ste 9f, Boston, MA 02215-5501 | 2005-06-30 |
1811515430 | Josephine Christer Mattsson | Nurse Practitioner | 110 Francis St, Boston, MA 02215-5501 | 2020-07-09 |
1659908010 | Kimberley Noij | Student in an Organized Health Care Education/Training Program | 110 Francis St, Boston, MA 02215-5501 | 2020-03-25 |
1619454733 | Kirstyn James | Internal Medicine | 110 Francis St, Boston, MA 02215-5501 | 2018-07-21 |
1609366814 | Maureen Doherty | Social Worker | 110 Francis St, Boston, MA 02215-5501 | 2018-05-14 |
1114433323 | Thao L Costanza | Nurse Practitioner | 110 Francis St, Boston, MA 02215-5501 | 2017-12-26 |
1427560184 | Alison Corbin | Nurse Practitioner | 110 Francis St, Boston, MA 02215-5501 | 2017-11-02 |
1124557368 | Melanie Catherine Rotty | Registered Nurse | 110 Francis St, Boston, MA 02215-5501 | 2017-06-10 |
1104379015 | Tiffany Berman | Audiologist | 110 Francis St, Boston, MA 02215-5501 | 2016-07-27 |
1467905406 | Abdulrahman Alturki | Student in an Organized Health Care Education/Training Program | 110 Francis St, Suite 3b, Boston, MA 02215-5501 | 2016-07-26 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336746775 | Lee T Gernon-lakin | Physician Assistant | 202 Robinson Hall, 360 Huntington Ave, Boston, MA 02215 | 2020-10-08 |
1821695933 | Matthew John Needham | Student in an Organized Health Care Education/Training Program | 330 Brookline Ave, Yamins 2nd Floor, Department of Anesthesia, Boston, MA 02215 | 2020-10-02 |
1114533866 | Cdg Back Bay LLC | Clinic/Center | 400 Commonwealth Ave 3rd Floor, Boston, MA 02215 | 2020-09-18 |
1619595105 | Natasha Larocque | Radiology | 330 Brookline Avenue, Sherman 231, Beth Israel Deacones, Radiology Education Office, Boston, MA 02215 | 2020-07-10 |
1538783089 | Yutsz Cherng | Counselor | 870r Commonwealth Avenue, Boston, MA 02215 | 2020-06-01 |
1306495924 | Anthony Rosellini | Psychologist | 900 Commonwealth Avenue (east), 2nd Floor, Boston, MA 02215 | 2019-09-06 |
1427605278 | Liana Zucco | Student in an Organized Health Care Education/Training Program | Beth Israel Deaconess Medical Centre, Dept Anesthesia, 330 Brookline Ave, Ya-02q02, Boston, MA 02215 | 2019-08-26 |
1831759430 | Brian William Hayes | Radiology | 330 Brookline Avenue, Beth Israel Deaconess Medical Cen, Boston, MA 02215 | 2019-06-17 |
1396304358 | Elizabeth Hai Yen Du | Student in an Organized Health Care Education/Training Program | Beth Israel Deaconess Medical Center, Department of Rad, 330 Brookline Avenue, Boston, MA 02215 | 2019-06-12 |
1922665439 | Corey Shaphard Miller | Student in an Organized Health Care Education/Training Program | 300 Brookline Avenue, Bidmc, Dana 501, Boston, MA 02215 | 2019-05-21 |
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Taxonomy Code | 302F00000X |
Grouping | Managed Care Organizations |
Classification | Exclusive Provider Organization |
(1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage for the medical service; (2) While similar to a PPO in that an EPO allows patients to go outside the network for care, if they do so in an EPO, they are required to pay the entire cost of care. An EPO differs from an HMO in that EPO physicians do not receive capitation but instead are reimbursed only for actual services provided; (3) An organization identical to a preferred provider organization except that persons enrolled in the plan are eligible to receive benefits only when they use the services of the contracting providers. No benefits are available when non-contracting providers are used, except in certain emergency situations. |
Notes: Source: (1) Medical Interface: Managed Care A thru Z- Managed Care Terms published by Medicom International, Bronxville, New York Telephone (914) 337-5023, p. 15; (2) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 58; (3) Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
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1851797542 | Commonwealth Care Alliance, Inc. | Exclusive Provider Organization | 30 Winter St, Boston, MA 02108-4720 | 2014-11-07 |
NPI | Name | Taxonomy | Address | Enumeration |
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1205369014 | Clinical & Support Options | Exclusive Provider Organization | 15 Vadnais St, East Longmeadow, MA 01028-1934 | 2017-04-07 |
1912362716 | Janet Vodvarka | Exclusive Provider Organization | 27 Waltham Rd, Wayland, MA 01778-1312 | 2015-12-21 |
1053710467 | Train Boston Physical Therapy, Inc. | Exclusive Provider Organization | 34 Washington Street, Wellesley, MA 02481 | 2014-08-21 |
1518395284 | Cadre Ideal LLC | Exclusive Provider Organization | 60-70 Milton Street, Dedham, MA 02026 | 2013-10-16 |
1134553860 | The Children's Study Home | Exclusive Provider Organization | 150 Linden St Apt 4l, Holyoke, MA 01040-3304 | 2013-08-29 |
1740527787 | Wicfol Human Services | Exclusive Provider Organization | 1785 South St, Bridgewater, MA 02324-3525 | 2013-01-10 |
1952658056 | Mass Kidz Healthy Smiles LLC | Exclusive Provider Organization | 126 Audubon Ave, Braintree, MA 02184-2352 | 2012-08-07 |
1114280286 | South Shore Mental Health | Exclusive Provider Organization | 16 Penniman Circle, Stoughton, MA 02072 | 2012-06-22 |
1689949232 | Caring Home Health Care, LLC | Exclusive Provider Organization | 58 Princeton Rd, Malden, MA 02148-1642 | 2012-03-15 |
1497052930 | Cleghorn Professional Counseling Center | Exclusive Provider Organization | 63 Fairmount St Rear, Fitchburg, MA 01420-7613 | 2011-02-18 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.