Kenneth Rupp, RN | |
529 Main St Ste 222, Charlestown, MA 02129-1101 | |
(857) 276-2261 | |
Not Available |
Full Name | Kenneth Rupp |
---|---|
Gender | Male |
Speciality | Registered Nurse |
Location | 529 Main St Ste 222, Charlestown, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1740724111 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | RN281308 (Massachusetts) | Primary |
Entity Name | Bostons Community Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235174418 PECOS PAC ID: 1355390691 Enrollment ID: O20050113000756 |
Mailing Address | Practice Location Address |
---|---|
Kenneth Rupp, RN 529 Main St Ste 222, Charlestown, MA 02129-1101 Ph: (857) 276-2261 | Kenneth Rupp, RN 529 Main St Ste 222, Charlestown, MA 02129-1101 Ph: (857) 276-2261 |
Susan Born, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 529 Main St, Suite 216, Charlestown, MA 02129 Phone: 617-426-0600 | |
Theresa Walsh, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 529 Main St, Charlestown, MA 02129 Phone: 616-600-3195 | |
Ms. Amanda Durgin, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 529 Main St, Suite 216, Charlestown, MA 02129 Phone: 617-600-3195 | |
Brian Henry, AGACNP-BC Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 529 Main St, Suite 216, Charlestown, MA 02129 Phone: 617-426-0600 | |
Julia Tatum Mcandrew, MSN, MPH, FNP-BC Registered Nurse Medicare: May Accept Medicare Assignments Practice Location: 15 Tufts St, Charlestown, MA 02129 Phone: 587-238-1100 Fax: 857-238-1170 | |
Tracey Marie Calixto, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 529 Main St Ste 222, Charlestown, MA 02129 Phone: 617-426-0600 | |
Meghan Donahue, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 300 1st Ave, Charlestown, MA 02129 Phone: 617-952-5800 |