Five Journeys Referrals®
Referrals from
Five Journeys®
Please fill out the form completely and plan accordingly as it may take up to two weeks to obtain a referral. Thank you.
Referrals to Five Journeys®
To request a referral from your PCP to see our medical providers, please provide them with the following information.
Please fax the information to 617-934-6401.
If we do not receive this information before your first appointment, you will be charged for the visit and then reimbursed when the referral arrives. Thank you.
PLEASE INCLUDE:
- The date of your first appointment
- Number of visits – 12
- The reason for your visit
- Our Fax # 617-934-6401
The name and NPI# of your provider:
- Dr. Edward Levitan, MD – NPI #1740393222
- Dr. Wendie Trubow, MD – NPI #1730258237
- Dr. Bernice Wong, MD – NPI #1265412076
- Erin Jankauskas, PA – NPI #1487052932
- Ashley Gerlach, NP – NPI #1649740416
- Tamer Khafagy, MD – NPI #1932391422
- Julia Bello – NPI #1427816792
- Deanna Whitt – NPI #1497597876