Ms Tracy Elizabeth Benavides, NURSE PRACTITIONER | |
87 W Selden St, Mattapan, MA 02126-2346 | |
(857) 500-3022 | |
Not Available |
Full Name | Ms Tracy Elizabeth Benavides |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 87 W Selden St, Mattapan, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1942996996 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 264410 (Massachusetts) | Primary |
163W00000X | Registered Nurse | 264410 (Massachusetts) | Secondary |
Entity Name | Signify Health Medical Associates Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20200204002341 |
Mailing Address | Practice Location Address |
---|---|
Ms Tracy Elizabeth Benavides, NURSE PRACTITIONER 87 W Selden St, Mattapan, MA 02126-2346 Ph: (857) 500-3022 | Ms Tracy Elizabeth Benavides, NURSE PRACTITIONER 87 W Selden St, Mattapan, MA 02126-2346 Ph: (857) 500-3022 |
Olasumbo Fadiya, RN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7 Cragmere Ter, Apt. #1, Mattapan, MA 02126 Phone: 617-407-5875 | |
Mrs. Elizabeth A. Maffie, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1135 Morton St, Mattapan, MA 02126 Phone: 617-533-2400 Fax: 617-533-2478 | |
Ms. Laverne Lydia Dickson, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1575 Blue Hill Ave, Mattapan, MA 02126 Phone: 617-296-0061 | |
Mr. Richard Thomas Gunn, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1135 Morton St, Mattapan, MA 02126 Phone: 617-533-2400 | |
Ruth A. Raczkowski, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1135 Morton St, Mattapan, MA 02126 Phone: 617-533-2400 Fax: 617-533-2401 | |
Laura L. Stanley, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1135 Morton Street, Mattapan, MA 02126 Phone: 617-533-2400 Fax: 617-533-2401 |