| Elizabeth-ann Soccorso, APRN | |
|
100 Powers St, Beverly, MA 01915-2748 | |
| (978) 922-3000 | |
| (978) 524-6072 |
| Full Name | Elizabeth-ann Soccorso |
|---|---|
| Gender | Female |
| Speciality | Registered Nurse - Psychiatric/mental Health, Adult |
| Location | 100 Powers St, Beverly, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528167665 | NPI | - | NPPES |
| 0300080 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163WP0809X | Registered Nurse - Psychiatric/mental Health, Adult | 129052 (Massachusetts) | Primary |
| Entity Name | Northeast Medical Practice Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235147760 PECOS PAC ID: 2365405024 Enrollment ID: O20050111000265 |
| Mailing Address | Practice Location Address |
|---|---|
| Elizabeth-ann Soccorso, APRN 100 Powers St, Beverly, MA 01915-2748 Ph: (978) 922-3000 | Elizabeth-ann Soccorso, APRN 100 Powers St, Beverly, MA 01915-2748 Ph: (978) 922-3000 |
Alison Pelletier, PMHNP Registered Nurse Medicare: May Accept Medicare Assignments Practice Location: 30 Tozer Rd, Beverly, MA 01915 Phone: 978-745-3050 | |
Karen Doherty, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 800 Cummings Ctr, 266t, Beverly, MA 01915 Phone: 978-739-7689 Fax: 978-927-3724 | |
Mrs. Leanne Deterra, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 100 Cummings Ctr, Element Care Suite 166d, Beverly, MA 01915 Phone: 978-712-3360 Fax: 978-712-3392 | |
Kimberly Bianco, RNFA Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 85 Herrick St, Beverly, MA 01915 Phone: 978-922-3000 | |
Mary Theresa Langmaid, RN, MSN, FNP-BC Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 30 Tozer Rd, Beverly, MA 01915 Phone: 978-745-3050 Fax: 978-745-7014 | |
Kettelyne Gilles, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 100 Cummings Center Suite 344f, Beverly, MA 01915 Phone: 857-415-6439 Fax: 888-776-1247 | |
Ms. Jennifer Rose Bertolon, CPNP, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 245 Dodge St, Beverly, MA 01915 Phone: 978-618-0239 |