| Nemg Hingham | |
|
600 Cordwainer Dr Ste 102 Norwell MA 02061-1644 | |
| (781) 987-3490 | |
| (877) 384-3122 |
| Full Name | Nemg Hingham |
|---|---|
| Speciality | Clinic/Center |
| Location | 600 Cordwainer Dr Ste 102, Norwell, Massachusetts |
| Authorized Official Name and Position | David Bassano (MANAGING PARTNER/COO) |
| Authorized Official Contact | 2392907297 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nemg Hingham 210 Whiting St Ste 6 Hingham MA 02043-3724 Ph: (781) 987-3490 | Nemg Hingham 600 Cordwainer Dr Ste 102 Norwell MA 02061-1644 Ph: (781) 987-3490 |
| NPI Number | 1194472498 |
|---|---|
| Provider Enumeration Date | 03/07/2022 |
| Last Update Date | 12/12/2023 |
| Certification Date | 12/12/2023 |
| Medicare PECOS PAC ID | 7810374360 |
|---|---|
| Medicare Enrollment ID | O20220523000649 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194472498 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Secondary |
| Provider Name | Andrea Hutcheson Warden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841623220 PECOS PAC ID: 8123240959 Enrollment ID: I20141112000592 |
| Provider Name | Daniel Regan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295879260 PECOS PAC ID: 7416268370 Enrollment ID: I20150618000896 |
| Provider Name | Rachael A Darian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881625242 PECOS PAC ID: 1355376757 Enrollment ID: I20180122000998 |
| Provider Name | Duy Q. Ly |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649620360 PECOS PAC ID: 8325474463 Enrollment ID: I20200207001377 |
| Provider Name | Kristina T Vassell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538786645 PECOS PAC ID: 8325444797 Enrollment ID: I20210909003354 |
| Provider Name | Marie Chantal Tuffet |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467067934 PECOS PAC ID: 1456758127 Enrollment ID: I20210922002190 |
| Provider Name | Jessica Elaine Kehoe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992387526 PECOS PAC ID: 6305235508 Enrollment ID: I20211111001973 |
| Provider Name | John F. Mannion |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437760725 PECOS PAC ID: 3375954027 Enrollment ID: I20211206002235 |
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