Carolyn B Bogal, NP | |
110 Liberty St, Brockton, MA 02301 | |
(508) 894-0400 | |
(508) 894-0590 |
Full Name | Carolyn B Bogal |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 38 Years |
Location | 110 Liberty St, Brockton, Massachusetts |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1184725038 | NPI | - | NPPES |
S400469060 | Other | MA | MEDICARE |
110020132A | Medicaid | MA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LA2200X | Nurse Practitioner - Adult Health | RN153493 (Massachusetts) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Urgent Care Medical Associates Of Massachusetts Llc | 8820445760 | 51 |
Entity Name | Afc Physicians Of Massachusetts, Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902123276 PECOS PAC ID: 9234321308 Enrollment ID: O20101007000509 |
Entity Name | Urgent Care Medical Associates Of Massachusetts Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659153203 PECOS PAC ID: 8820445760 Enrollment ID: O20231114001776 |
Mailing Address | Practice Location Address |
---|---|
Carolyn B Bogal, NP 7 High St, Medfield, MA 02052-3120 Ph: (508) 728-1905 | Carolyn B Bogal, NP 110 Liberty St, Brockton, MA 02301 Ph: (508) 894-0400 |
Christine Nichole Lattuada, PNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1 Pearl St, Suite 2000, Brockton, MA 02301 Phone: 508-894-8577 Fax: 508-894-8578 | |
Rebecca Match, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 20 Meadowbrook Rd, Brockton, MA 02301 Phone: 508-638-6006 | |
Jessica Santiccioli, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 63 Main St, Brockton, MA 02301 Phone: 508-559-6699 | |
Nnemeka A Okpala, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 529 Pearl St, Brockton, MA 02301 Phone: 617-922-4626 | |
Mrs. Henrietta Amaka Ewuzie, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 14 Heritage Ct, Brockton, MA 02302 Phone: 857-233-1890 | |
Mrs. Rena B Levy, MSN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 110 Liberty St, Brockton, MA 02301 Phone: 508-894-0400 Fax: 508-894-0412 | |
Lauren Kaplan, CPNP-PC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1324 Belmont St Ste 105, Brockton, MA 02301 Phone: 617-571-6732 |