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Ole-Petter Riksfjord Hamnvik

Internal Medicine

Allopathic & Osteopathic Physicians

221 Longwood Ave, Rfb-2, Boston, MA 02115-5804

PECOS Enrollment

This provider is enrolled in PECOS as OLE PETTER HAMNVIK.

Based on the most recent information from CMS, provider Ole-Petter Riksfjord Hamnvik is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1063603678
Provider Type
Individual
Full Name
Hamnvik, Ole-Petter Riksfjord
Title
Dr.
Credential
M.D.

Gender
Male
Sole Proprietor
No
Enumeration Date
8/8/2007
Last Updated
9/24/2020

Contact Information

Practice Location

221 Longwood Ave, Rfb-2, Boston, MA 02115-5804

(617) 732-5666

(617) 525-4036

Mailing Location

221 Longwood Ave, Rfb-2, Boston, MA 02115-5804

(617) 732-5666

(617) 525-4036

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License 239696 Massachusetts
Code 207RE0101X	Description Internal Medicine Allopathic & Osteopathic Physicians	License 239696 Massachusetts

Ole-Petter Riksfjord Hamnvik

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Landon, Bruce E

Korrick, Susan A

Sillman, Jane Seligson

Rajagopalan, Harith

Garg, Pushkal P

Gellad, Walid Fouad

Southworth, Bonnie Ann

Mcintosh, Kenneth

Yim Yeh, Susie

Lee, David Fernando