Paul Kiprotich Langat, | |
230 Revere St Apt 2, Revere, MA 02151-4603 | |
(857) 413-9238 | |
Not Available |
Full Name | Paul Kiprotich Langat |
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Gender | Male |
Speciality | Nurse Practitioner - Primary Care |
Location | 230 Revere St Apt 2, Revere, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023546058 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | RN2304081 (Massachusetts) | Secondary |
363LP2300X | Nurse Practitioner - Primary Care | AG07230203 (Massachusetts) | Primary |
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 |
Entity Name | Healthdrive Behavioral Health Services, Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760909279 PECOS PAC ID: 8729345822 Enrollment ID: O20210910001065 |
Mailing Address | Practice Location Address |
---|---|
Paul Kiprotich Langat, 394 Ocean Ave Apt 315, Revere, MA 02151-2672 Ph: (857) 413-9238 | Paul Kiprotich Langat, 230 Revere St Apt 2, Revere, MA 02151-4603 Ph: (857) 413-9238 |
Ms. Emily J Wilcox, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 300 Ocean Ave, Revere, MA 02151 Phone: 781-485-6000 | |
Emily Caruso Macintyre, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 300 Ocean Ave, Revere, MA 02151 Phone: 781-485-6024 | |
Frew Fikru, NP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 529 Washington Ave Apt 2, Revere, MA 02151 Phone: 617-230-0979 | |
Mrs. Marianne Connelly, F.N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 385 Broadway Ste 4, Revere, MA 02151 Phone: 781-485-1000 Fax: 781-286-5418 | |
Ms. Janet Lynn Mozes, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 300 Broadway, Revere, MA 02151 Phone: 781-485-6429 Fax: 781-286-5418 | |
Ms. Michele Theresa Mchugh, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 300 Ocean Ave, Revere, MA 02151 Phone: 781-485-6000 Fax: 781-485-6405 | |
Vitor Cardoso, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 47 Florence Ave, Revere, MA 02151 Phone: 617-416-7087 |