Dennis Tan, NP-C | |
300 Mount Auburn St Ste 517, Cambridge, MA 02138-5665 | |
(617) 492-3500 | |
Not Available |
Full Name | Dennis Tan |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Location | 300 Mount Auburn St Ste 517, Cambridge, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255903696 | NPI | - | NPPES |
1255903696 | Medicaid | MA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163WM0705X | Registered Nurse - Medical-surgical | RN2313462 (Massachusetts) | Secondary |
363L00000X | Nurse Practitioner | RN2313462 (Massachusetts) | Primary |
Entity Name | Mt Auburn Professional Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992750996 PECOS PAC ID: 6103725031 Enrollment ID: O20040527001374 |
Mailing Address | Practice Location Address |
---|---|
Dennis Tan, NP-C 300 Mt Auburn St, Suite 517, Cambridge, MA 02138-5665 Ph: () - | Dennis Tan, NP-C 300 Mount Auburn St Ste 517, Cambridge, MA 02138-5665 Ph: (617) 492-3500 |
Kristen Ferreira, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 625 Mount Auburn St Ste 106, Cambridge, MA 02138 Phone: 617-661-5836 | |
Marie O. Girault, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 119 Windsor St, Cambridge, MA 02139 Phone: 617-665-3600 | |
Mrs. Mary M Eaton, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 36 White St, Cambridge, MA 02140 Phone: 617-876-5519 | |
Ana Alyss Skoryk, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 75 Mount Auburn St, Cambridge, MA 02138 Phone: 617-495-5711 | |
Jenna Elizabeth Foley, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 75 Mount Auburn St, Cambridge, MA 02138 Phone: 617-495-2068 | |
Mrs. Leigh Bastable Poitevent, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 36 White St, Ste 1, Cambridge, MA 02140 Phone: 617-876-5519 | |
Loretta Margaret Ouellett, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 100 Technology Sq, Cambridge, MA 02139 Phone: 617-871-3097 Fax: 617-871-3098 |