| Neurology Partners Pc | |
|
76 Park St Attleboro MA 02703-2335 | |
| (508) 431-2026 | |
| (508) 431-2296 |
| Full Name | Neurology Partners Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 76 Park St, Attleboro, Massachusetts |
| Authorized Official Name and Position | Heather Marie Tetreault (PRACTICE MANAGER) |
| Authorized Official Contact | 4017425965 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Neurology Partners Pc 76 Park St Attleboro MA 02703-2335 Ph: (508) 431-2026 | Neurology Partners Pc 76 Park St Attleboro MA 02703-2335 Ph: (508) 431-2026 |
| NPI Number | 1558551069 |
|---|---|
| Provider Enumeration Date | 07/31/2007 |
| Last Update Date | 11/27/2023 |
| Certification Date | 11/27/2023 |
| Medicare PECOS PAC ID | 1557517596 |
|---|---|
| Medicare Enrollment ID | O20120808000121 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558551069 | NPI | - | NPPES |
| 1780642611 | Medicaid | MA | |
| 1780642611 | Medicaid | RI | |
| 3187837 | Medicaid | MA | |
| 1649703547 | Medicaid | MA | |
| 1649703547 | Medicaid | RI | |
| 1568975969 | Medicaid | RI | |
| 1568975969 | Medicaid | MA | |
| 1124090691 | Medicaid | RI | |
| 1124090691 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 150014 (Massachusetts) | Primary |
| Provider Name | Megan A Callahan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1780642611 PECOS PAC ID: 5698719151 Enrollment ID: I20050615000428 |
| Provider Name | Ranbir S Dhillon |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1124090691 PECOS PAC ID: 3173779113 Enrollment ID: I20120808000196 |
| Provider Name | Kellyann G. Florentino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649703547 PECOS PAC ID: 4486924966 Enrollment ID: I20170717000167 |
| Provider Name | Nicole F Caron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568975969 PECOS PAC ID: 2769745470 Enrollment ID: I20180411000871 |
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