Dr Nicolas Raphael Genovese, MD | |
55 Lake Ave N, Worcester, MA 01655-0002 | |
(508) 334-3562 | |
Not Available |
Full Name | Dr Nicolas Raphael Genovese |
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Gender | Male |
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 55 Lake Ave N, Worcester, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1033678065 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 1015881 (Massachusetts) | Primary |
2084P0800X | Psychiatry & Neurology - Psychiatry | MD25931 (Maine) | Secondary |
Entity Name | Mainehealth |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790265502 PECOS PAC ID: 7517860588 Enrollment ID: O20040701000166 |
Mailing Address | Practice Location Address |
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Dr Nicolas Raphael Genovese, MD 22 Bramhall St, Portland, ME 04102-3134 Ph: (207) 662-0111 | Dr Nicolas Raphael Genovese, MD 55 Lake Ave N, Worcester, MA 01655-0002 Ph: (508) 334-3562 |
Dr. Joshua Haugh, DO Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 100 Century Dr, Worcester, MA 01606 Phone: 508-762-5400 | |
Elizabeth Liao, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 55 Lake Ave N, Worcester, MA 01655 Phone: 508-334-3240 Fax: 508-334-7185 | |
Kimberly J. Roberts-schultheis, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 108 Grove St Ste 200, Worcester, MA 01605 Phone: 774-460-8436 | |
Madhusmita Dhakal, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 26 Queen St, Worcester, MA 01610 Phone: 508-856-6580 | |
Dr. David R Bowman, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 55 Lake Ave N, Worcester, MA 01655 Phone: 774-443-2761 Fax: 774-442-1899 | |
Julie Lynn West, Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 26 Queen St, Worcester, MA 01610 Phone: 508-334-2670 | |
Daniel J. Kirsch, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 279 Lincoln St, Worcester, MA 01605 Phone: 508-334-2537 Fax: 508-334-3000 |