| Blueprint Healthcare | |
|
451 Andover St Ste 205 North Andover MA 01845-5079 | |
| (978) 983-2435 | |
| (781) 480-1981 |
| Full Name | Blueprint Healthcare |
|---|---|
| Speciality | Internal Medicine |
| Location | 451 Andover St Ste 205, North Andover, Massachusetts |
| Authorized Official Name and Position | Akindele Majekodumni (MANAGING PARTNER) |
| Authorized Official Contact | 2677795939 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Blueprint Healthcare 451 Andover St Ste 205 North Andover MA 01845-5079 Ph: (781) 480-1976 | Blueprint Healthcare 451 Andover St Ste 205 North Andover MA 01845-5079 Ph: (978) 983-2435 |
| NPI Number | 1467927483 |
|---|---|
| Provider Enumeration Date | 10/05/2018 |
| Last Update Date | 08/06/2020 |
| Medicare PECOS PAC ID | 1153665062 |
|---|---|
| Medicare Enrollment ID | O20181204002127 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467927483 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 208M00000X | Hospitalist | (* (Not Available)) | Secondary |
| Provider Name | Akindele Majekodunmi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447411764 PECOS PAC ID: 9436325560 Enrollment ID: I20180524002579 |
| Provider Name | Chong-ae Donahue |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043794704 PECOS PAC ID: 4587917240 Enrollment ID: I20181025002077 |
| Provider Name | Linda Jean Goodwin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891497061 PECOS PAC ID: 7517324510 Enrollment ID: I20230607000695 |
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