| Hillside Associates | |
|
77 Warren St Bldg 2, 3rd Floor Brighton MA 02135-3601 | |
| (617) 787-4662 | |
| (617) 787-4662 |
| Full Name | Hillside Associates |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 77 Warren St, Brighton, Massachusetts |
| Authorized Official Name and Position | Betty Herr (MEDICAL DIRECTOR) |
| Authorized Official Contact | 6177874662 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hillside Associates 77 Warren St Bldg 2, 3rd Floor Brighton MA 02135-3601 Ph: (617) 787-4662 | Hillside Associates 77 Warren St Bldg 2, 3rd Floor Brighton MA 02135-3601 Ph: (617) 787-4662 |
| NPI Number | 1881773158 |
|---|---|
| Provider Enumeration Date | 11/06/2006 |
| Last Update Date | 05/11/2009 |
| Medicare PECOS PAC ID | 2860544772 |
|---|---|
| Medicare Enrollment ID | O20090723000125 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881773158 | NPI | - | NPPES |
| 147511000 | Other | MA | MAGELLAN |
| 602106 | Other | MA | TUFTS HEALTH PLAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 45781 (Massachusetts) | Primary |
| Provider Name | Betty Herr |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245331727 PECOS PAC ID: 6103726880 Enrollment ID: I20040109000696 |
| Provider Name | Anton L Pesok |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1538116272 PECOS PAC ID: 3375634686 Enrollment ID: I20070801000014 |
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