Mrs Jody A Kenneally Chase, CPNP | |
10 Gove St, East Boston, MA 02128-1920 | |
(617) 568-4477 | |
Not Available |
Full Name | Mrs Jody A Kenneally Chase |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Pediatrics |
Location | 10 Gove St, East Boston, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1932410123 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0200X | Nurse Practitioner - Pediatrics | 280215 (Massachusetts) | Primary |
Entity Name | Internal Medical Associates-ebnhc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558481879 PECOS PAC ID: 6103814371 Enrollment ID: O20040505000853 |
Entity Name | East Boston Neighborhood Health Center Corp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316994411 PECOS PAC ID: 9032356050 Enrollment ID: O20130513000045 |
Mailing Address | Practice Location Address |
---|---|
Mrs Jody A Kenneally Chase, CPNP 10 Gove St, East Boston, MA 02128-1920 Ph: (617) 568-4477 | Mrs Jody A Kenneally Chase, CPNP 10 Gove St, East Boston, MA 02128-1920 Ph: (617) 568-4477 |
Ms. Caitlin R Crowley, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10 Gove St, East Boston, MA 02128 Phone: 617-569-5800 Fax: 617-568-4780 | |
Melissa Gardner, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 59 Meridian St, East Boston, MA 02128 Phone: 413-584-2173 | |
Katherine Henao-martinez, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 20 Maverick Sq, East Boston, MA 02128 Phone: 617-569-5800 Fax: 617-568-4585 | |
Michele H Crissman, RNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10 Gove St, East Boston, MA 02128 Phone: 617-569-5800 Fax: 617-568-4780 | |
Jessica Wilcoxson, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10 Gove St, East Boston, MA 02128 Phone: 617-569-5800 Fax: 617-568-4685 | |
Candice Elene Newmyer, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: East Boston Neighborhood Health Center, 10 Gove St, East Boston, MA 02128 Phone: 617-569-5800 | |
Victoria Marie Chan, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10 Gove St, East Boston, MA 02128 Phone: 617-569-5800 Fax: 617-568-4756 |