Sophia Khalifa, | |
85 Patton Rd, Devens, MA 01434-4401 | |
(978) 615-5200 | |
Not Available |
Full Name | Sophia Khalifa |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 85 Patton Rd, Devens, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013794544 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | RN2311715 (Massachusetts) | Primary |
Entity Name | Devens Treatment & Recovery Center Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811473267 PECOS PAC ID: 8123319498 Enrollment ID: O20181004001566 |
Mailing Address | Practice Location Address |
---|---|
Sophia Khalifa, 5 Webber Rd, Burlington, MA 01803-2838 Ph: (617) 771-8718 | Sophia Khalifa, 85 Patton Rd, Devens, MA 01434-4401 Ph: (978) 615-5200 |
Mercedes Ivette Tejada, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 82 Patten Rd, Devens, MA 01434 Phone: 978-796-1000 | |
Alison Ballantyne, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 85 Patton Rd, Devens, MA 01434 Phone: 978-615-5200 Fax: 978-772-5253 | |
Yangchen Tenzin Gethoktsang, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 85 Patton Rd, Devens, MA 01434 Phone: 978-615-5200 | |
Margarida Botelho, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 85 Patton Rd, Devens, MA 01434 Phone: 978-615-5200 | |
Robert Kalugo, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 85 Patton Rd, Devens, MA 01434 Phone: 978-615-5200 | |
Jennifer Stanton, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 38 Jackson Rd, Devens, MA 01434 Phone: 978-588-6035 Fax: 978-588-6628 |