| Bay Cove Human Services, Inc | |
|
31 Bowker St Boston MA 02114-2917 | |
| (617) 371-3000 | |
| (617) 371-3100 |
| Full Name | Bay Cove Human Services, Inc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 31 Bowker St, Boston, Massachusetts |
| Authorized Official Name and Position | Marcel Vernon (CFO & SVP) |
| Authorized Official Contact | 6176196961 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bay Cove Human Services, Inc 66 Canal St Boston MA 02114-2002 Ph: (617) 371-3000 | Bay Cove Human Services, Inc 31 Bowker St Boston MA 02114-2917 Ph: (617) 371-3000 |
| NPI Number | 1386702264 |
|---|---|
| Provider Enumeration Date | 12/05/2006 |
| Last Update Date | 07/25/2024 |
| Certification Date | 07/25/2024 |
| Medicare PECOS PAC ID | 6103921184 |
|---|---|
| Medicare Enrollment ID | O20070530000440 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386702264 | NPI | - | NPPES |
| 000000008433 | Other | MA | BMC HEALTHNET PLAN |
| 1302272 | Medicaid | MA | |
| 1306448 | Medicaid | MA | |
| 1000290 | Other | MA | BHS (NHP AND FALLON) |
| 000000008416 | Other | MA | BMC HEALTHNET PLAN |
| 796212 | Other | MA | NETWORK HEALTH PLAN |
| BOS2225003301 | Other | MA | BLUE CROSS BLUE SHIELD MA |
| 996211001 | Other | MA | NETWORK HEALTH PLAN |
| 1310194 | Other | MA | MBHP |
| 98738301 | Other | MA | NETWORK HEALTH PLAN |
| 99621101 | Other | MA | NETWORK HEALTH PLAN |
| 1306448 | Other | MA | MBHP |
| 1307681 | Other | MA | MBHP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (Massachusetts) | Primary |
| Provider Name | Altagracia Ramirez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1235186925 PECOS PAC ID: 3072598101 Enrollment ID: I20040622001047 |
| Provider Name | Rama Dronamraju |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1790864098 PECOS PAC ID: 1557334513 Enrollment ID: I20040817001179 |
| Provider Name | Sally A Reyering |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1790800514 PECOS PAC ID: 2365482874 Enrollment ID: I20050504000490 |
| Provider Name | Caryn R Metzger Smith |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1922246743 PECOS PAC ID: 6800950825 Enrollment ID: I20090205000271 |
| Provider Name | Danielle M Zito |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1811189210 PECOS PAC ID: 4082762828 Enrollment ID: I20090504000610 |
| Provider Name | Jennifer A Kushmerek |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1891827580 PECOS PAC ID: 9234319419 Enrollment ID: I20110204000335 |
| Provider Name | Meghan C Dowd Murray |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275884827 PECOS PAC ID: 8325367162 Enrollment ID: I20150429001678 |
| Provider Name | Meeghan M Mercurio |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679825715 PECOS PAC ID: 1052621901 Enrollment ID: I20151105001894 |
| Provider Name | Robert B Diener |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881884989 PECOS PAC ID: 9739499278 Enrollment ID: I20151112001039 |
| Provider Name | Anne P Rossi |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1821296492 PECOS PAC ID: 1456645993 Enrollment ID: I20160808000098 |
| Provider Name | Azizi S Carle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386767929 PECOS PAC ID: 1557630589 Enrollment ID: I20170707001457 |
| Provider Name | Maura E Stanton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457703423 PECOS PAC ID: 7416221452 Enrollment ID: I20170914002764 |
| Provider Name | Olusola A Awodu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063014496 PECOS PAC ID: 7012292741 Enrollment ID: I20221213002563 |
| Provider Name | Diane R Santoro |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811175425 PECOS PAC ID: 9830559210 Enrollment ID: I20230717002536 |
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