Mariko Yasuda, MD
Dermatologist in Worcester, MA
Registered providerLicense # listed (MA)Medicare-enrolledAccepts Medicare assignment
Public-record details
- Address
- 281 Lincoln St, Dermatology Residency, Worcester, MA 01605
- Phone
- (508) 334-5971
- Listed under
- Individual clinicians
- NPI
- 1073741385
- NPI status
- Active in the NPPES registry
- Provider type
- Individual provider
- Registered specialty (self-reported taxonomy)
- Dermatology (207N00000X)
- Credentials listed
- MD
- License number on NPI record
- 240901 (MA)
- NPI first issued
- Jun 25, 2009
- Years since NPI first issued
- 17 years (since 2009)
- License state on NPI record
- MA
- NPI record last updated
- Jun 30, 2010
- Medicare enrollment (CMS)
- Enrolled: listed in CMS Doctors & Clinicians
- Medicare assignment (CMS)
- Accepts the Medicare-approved amount as payment in full
- Professional school graduation (CMS)
- 2009 (17 years ago)
- Professional school (CMS)
- Albany Medical College of Union University
- Medicare group practice (CMS)
- Massachusetts General Physicians Organization INC (3,558 clinicians); Dermwellesley LLC (9 clinicians)
- Practice locations on file with Medicare (CMS)
- 2
- Other dermatology listings at this street address
- 26
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