Brenda Lee Chaloux, | |
73 Russell Rd, Huntington, MA 01050-9777 | |
(413) 667-3009 | |
Not Available |
Full Name | Brenda Lee Chaloux |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 73 Russell Rd, Huntington, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1588113328 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | RN198146 (Massachusetts) | Primary |
Entity Name | Baystate Medical Practices Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548205909 PECOS PAC ID: 5991602971 Enrollment ID: O20040225000080 |
Entity Name | Hilltown Community Health Centers Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740268051 PECOS PAC ID: 7315830148 Enrollment ID: O20040915000815 |
Mailing Address | Practice Location Address |
---|---|
Brenda Lee Chaloux, 180 General Knox Rd, Russell, MA 01071-9734 Ph: (413) 348-6089 | Brenda Lee Chaloux, 73 Russell Rd, Huntington, MA 01050-9777 Ph: (413) 667-3009 |
Ms. Anne G Fine, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: Hilltown Community Health Center - School-based Program, 12 Littleville Road, Huntington, MA 01050 Phone: 413-667-0142 Fax: 413-667-0145 | |
Mrs. Diana Jean Johnson, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 73 Russell Rd, Huntington, MA 01050 Phone: 413-667-3009 Fax: 413-667-8746 |