| North Shore Nurse Practitioner Associates, Llc | |
|
85 Constitution Ln Suite 300a Danvers MA 01923-3694 | |
| (978) 750-0755 | |
| (978) 750-0766 |
| Full Name | North Shore Nurse Practitioner Associates, Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 85 Constitution Ln, Danvers, Massachusetts |
| Authorized Official Name and Position | Christine Dale Raucci (OWNER / PARTNER) |
| Authorized Official Contact | 9787500755 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| North Shore Nurse Practitioner Associates, Llc 85 Constitution Ln Suite 300a Danvers MA 01923-3694 Ph: (978) 750-0755 | North Shore Nurse Practitioner Associates, Llc 85 Constitution Ln Suite 300a Danvers MA 01923-3694 Ph: (978) 750-0755 |
| NPI Number | 1932362613 |
|---|---|
| Provider Enumeration Date | 07/03/2008 |
| Last Update Date | 12/30/2015 |
| Medicare PECOS PAC ID | 5395800924 |
|---|---|
| Medicare Enrollment ID | O20090216000355 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932362613 | NPI | - | NPPES |
| 1893327 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 201757 (Massachusetts) | Primary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 125049 (Massachusetts) | Secondary |
| Provider Name | Christine D Raucci |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1598711780 PECOS PAC ID: 4789695867 Enrollment ID: I20060606000230 |
| Provider Name | Susan Dirks |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1326085945 PECOS PAC ID: 7911918032 Enrollment ID: I20060607000053 |
| Provider Name | Anne B Bellefeuille |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1851412209 PECOS PAC ID: 7618231424 Enrollment ID: I20180502002682 |
Rosmark Psychological Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 85 Constitution Ln, Suite 2g, Danvers, MA 01923 Phone: 978-646-8830 Fax: 978-646-8862 | |
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Jeffrey M Hoffman,m.d.,p.c. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 85 Constitution Ln, Suite 200c, Danvers, MA 01923 Phone: 978-750-3607 Fax: 978-750-3606 | |
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