| Charter Ltc Llc | |
|
55 Highland Ave Ste 304 Salem MA 01970-2100 | |
| (978) 354-4611 | |
| Not Available |
| Full Name | Charter Ltc Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 55 Highland Ave Ste 304, Salem, Massachusetts |
| Authorized Official Name and Position | Hans C Jeppesen (OWNER) |
| Authorized Official Contact | 9783544611 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Charter Ltc Llc 55 Highland Ave Ste 304 Salem MA 01970-2100 Ph: (978) 354-4611 | Charter Ltc Llc 55 Highland Ave Ste 304 Salem MA 01970-2100 Ph: (978) 354-4611 |
| NPI Number | 1861129819 |
|---|---|
| Provider Enumeration Date | 08/01/2022 |
| Last Update Date | 08/01/2022 |
| Medicare PECOS PAC ID | 0840674578 |
|---|---|
| Medicare Enrollment ID | O20220830002708 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861129819 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Nancy M Pearlman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669446266 PECOS PAC ID: 2668412958 Enrollment ID: I20050505000871 |
| Provider Name | Bethann Rowlands |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457416786 PECOS PAC ID: 1355371139 Enrollment ID: I20050822000575 |
| Provider Name | Megan Bradley Callahan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881662864 PECOS PAC ID: 8123021722 Enrollment ID: I20060822000171 |
| Provider Name | Irene I Tsirozidou |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912964610 PECOS PAC ID: 2466544119 Enrollment ID: I20070825000007 |
| Provider Name | Denise K Gafanhao |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912035650 PECOS PAC ID: 4284716978 Enrollment ID: I20080204000339 |
| Provider Name | Hans C Jeppesen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669678298 PECOS PAC ID: 5092886077 Enrollment ID: I20120331000003 |
| Provider Name | Alysia M Demartino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194151415 PECOS PAC ID: 4688805583 Enrollment ID: I20140318000445 |
| Provider Name | Anne S Zlevor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841574472 PECOS PAC ID: 2163645516 Enrollment ID: I20150410001101 |
| Provider Name | Nicole A Martinez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821423237 PECOS PAC ID: 0941512917 Enrollment ID: I20150706000086 |
| Provider Name | Elizabeth B Shortsleeve |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700169711 PECOS PAC ID: 3173755402 Enrollment ID: I20160304001643 |
| Provider Name | Oleksandr V Barchuk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427419381 PECOS PAC ID: 7517258627 Enrollment ID: I20160621001698 |
| Provider Name | Santosh R Poudel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1023377884 PECOS PAC ID: 5799924288 Enrollment ID: I20160624000183 |
| Provider Name | Shayla Mccarthy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457608713 PECOS PAC ID: 8628356359 Enrollment ID: I20161031001015 |
| Provider Name | Maria Dalomba |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548704828 PECOS PAC ID: 2769764331 Enrollment ID: I20170117001726 |
| Provider Name | Jenya Appleton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679923775 PECOS PAC ID: 7214210079 Enrollment ID: I20170202000450 |
| Provider Name | Gresilla Fondi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790235257 PECOS PAC ID: 7719256841 Enrollment ID: I20170706000571 |
| Provider Name | Ngoc Anh Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861932691 PECOS PAC ID: 3577835107 Enrollment ID: I20170817000035 |
| Provider Name | Gurpreet Saini |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326582396 PECOS PAC ID: 3173895638 Enrollment ID: I20170817001721 |
| Provider Name | Alla M Guenin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275802324 PECOS PAC ID: 0345563987 Enrollment ID: I20181207001086 |
| Provider Name | Katina Herron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871092817 PECOS PAC ID: 3173876422 Enrollment ID: I20211118001831 |
| Provider Name | Jonadab Erhahon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073240149 PECOS PAC ID: 4385015288 Enrollment ID: I20230131002116 |
Neuronorwell Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 15 Linden Ave, Salem, MA 01970 Phone: 508-212-2074 | |
Gastrointestinal Physicians Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 55 Highland Ave, Ste 304, Salem, MA 01970 Phone: 978-741-4171 Fax: 978-741-4283 | |
Counseling And Health Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 352 Lafayette St, Counseling And Health Services, Salem, MA 01970 Phone: 978-542-6410 Fax: 978-542-7121 | |
Alicorn Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 63 1/2 Jefferson Ave, Salem, MA 01970 Phone: 202-276-3074 | |
North Shore Community Health, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 27 Congress St, Salem, MA 01970 Phone: 978-744-8388 Fax: 978-744-0079 | |
Ryan Zaklin Md Ma Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 84 Highland Ave Ste 311, Salem, MA 01970 Phone: 978-998-0010 | |
Salem Family Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 47 Congress St, Salem, MA 01970 Phone: 978-744-8388 Fax: 978-744-0079 |