| Aspire Medical Group, P.c. | |
|
275 Turnpike St Ste 206 Canton MA 02021-2357 | |
| (617) 750-6642 | |
| (617) 250-8262 |
| Full Name | Aspire Medical Group, P.c. |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 275 Turnpike St Ste 206, Canton, Massachusetts |
| Authorized Official Name and Position | Betty Yu (PRESIDENT) |
| Authorized Official Contact | 6179919151 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Aspire Medical Group, P.c. 275 Turnpike St Ste 206 Canton MA 02021-2353 Ph: (617) 991-9151 | Aspire Medical Group, P.c. 275 Turnpike St Ste 206 Canton MA 02021-2357 Ph: (617) 750-6642 |
| NPI Number | 1639802614 |
|---|---|
| Provider Enumeration Date | 07/06/2022 |
| Last Update Date | 09/20/2023 |
| Certification Date | 09/20/2023 |
| Medicare PECOS PAC ID | 9436525003 |
|---|---|
| Medicare Enrollment ID | O20221024000116 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639802614 | NPI | - | NPPES |
| Provider Name | Betty L Yu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760960769 PECOS PAC ID: 1759617616 Enrollment ID: I20190730002889 |
| Provider Name | Kristina T Vassell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538786645 PECOS PAC ID: 8325444797 Enrollment ID: I20210909003354 |
| Provider Name | Obiageli L Ukatu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558031518 PECOS PAC ID: 6800244476 Enrollment ID: I20231121002605 |
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