| Hkd Outreach Pc | |
|
25 Melville Ave Dorchester MA 02124-2105 | |
| (617) 699-9329 | |
| (844) 564-1409 |
| Full Name | Hkd Outreach Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 25 Melville Ave, Dorchester, Massachusetts |
| Authorized Official Name and Position | Hung K Do (CEO) |
| Authorized Official Contact | 9787109877 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hkd Outreach Pc 25 Melville Ave Dorchester MA 02124-2105 Ph: (617) 699-9329 | Hkd Outreach Pc 25 Melville Ave Dorchester MA 02124-2105 Ph: (617) 699-9329 |
| NPI Number | 1982082723 |
|---|---|
| Provider Enumeration Date | 05/13/2015 |
| Last Update Date | 05/18/2022 |
| Certification Date | 05/18/2022 |
| Medicare PECOS PAC ID | 0547570806 |
|---|---|
| Medicare Enrollment ID | O20151117001695 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982082723 | NPI | - | NPPES |
| Provider Name | Hung K Do |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013069962 PECOS PAC ID: 2860578846 Enrollment ID: I20080401000279 |
| Provider Name | Adam Bied |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1104185586 PECOS PAC ID: 4082992607 Enrollment ID: I20161101001834 |
| Provider Name | Ana Depina |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285384180 PECOS PAC ID: 6507390721 Enrollment ID: I20241111003497 |
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