| Measured Wellness Llc | |
|
47 Seaverns Ave # 5 Boston MA 02130-2876 | |
| (513) 748-2498 | |
| Not Available |
| Full Name | Measured Wellness Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 47 Seaverns Ave # 5, Boston, Massachusetts |
| Authorized Official Name and Position | David Mou (PARTNER) |
| Authorized Official Contact | 5137482498 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Measured Wellness Llc 47 Seaverns Ave # 5 Boston MA 02130-2876 Ph: () - | Measured Wellness Llc 47 Seaverns Ave # 5 Boston MA 02130-2876 Ph: (513) 748-2498 |
| NPI Number | 1588273320 |
|---|---|
| Provider Enumeration Date | 07/28/2020 |
| Last Update Date | 07/28/2020 |
| Certification Date | 07/28/2020 |
| Medicare PECOS PAC ID | 4082029533 |
|---|---|
| Medicare Enrollment ID | O20210216002415 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588273320 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Danielle T Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174078364 PECOS PAC ID: 6305126699 Enrollment ID: I20161202000249 |
| Provider Name | Brian William Boyle |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871974584 PECOS PAC ID: 3173839719 Enrollment ID: I20190716002485 |
| Provider Name | Melissa Broughton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376153494 PECOS PAC ID: 2264847649 Enrollment ID: I20210217000455 |
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