Cca Primary Care | |
30 Northampton Street Boston MA 02118 | |
(617) 433-9601 | |
(617) 445-6413 |
Full Name | Cca Primary Care |
---|---|
Speciality | Clinic/Center |
Location | 30 Northampton Street, Boston, Massachusetts |
Authorized Official Name and Position | Biljana Simikic (ACTING MEDICAL DIRECTOR) |
Authorized Official Contact | 6174339601 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Cca Primary Care 30 Northampton Street Boston MA 02118 Ph: (617) 433-9601 | Cca Primary Care 30 Northampton Street Boston MA 02118 Ph: (617) 433-9601 |
NPI Number | 1235174418 |
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Provider Enumeration Date | 06/19/2006 |
Last Update Date | 09/22/2021 |
Medicare PECOS PAC ID | 1355390691 |
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Medicare Enrollment ID | O20050113000756 |
Identifier | Type | State | Issuer |
---|---|---|---|
1235174418 | NPI | - | NPPES |
110071110A | Medicaid | MA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (Massachusetts) | Primary |
Provider Name | John Francis Loughnane |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1053327734 PECOS PAC ID: 0446143291 Enrollment ID: I20040205000206 |
Provider Name | Christopher S Manasseh |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1407820673 PECOS PAC ID: 7113917634 Enrollment ID: I20040517000538 |
Provider Name | Marc T Emmerich |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1033292636 PECOS PAC ID: 1456300177 Enrollment ID: I20050119000935 |
Provider Name | Robert J Master |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1518048131 PECOS PAC ID: 7517916851 Enrollment ID: I20050125000468 |
Provider Name | Thomas W Barber |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1487627949 PECOS PAC ID: 2567409857 Enrollment ID: I20050408000128 |
Provider Name | Kamau Karanja |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1720147895 PECOS PAC ID: 7810928819 Enrollment ID: I20050830000416 |
Provider Name | Lorie Resendes Trainor |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1053419481 PECOS PAC ID: 8729008818 Enrollment ID: I20051205000679 |
Provider Name | Camille F Balestri |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1487744124 PECOS PAC ID: 5496761371 Enrollment ID: I20060301000710 |
Provider Name | Susan M Walsh |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1083675573 PECOS PAC ID: 4981647286 Enrollment ID: I20060407000504 |
Provider Name | Jodi L Osterhout Vanasse |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881601037 PECOS PAC ID: 8224047972 Enrollment ID: I20060407000529 |
Provider Name | Joanne Costantino |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1487613394 PECOS PAC ID: 4284644188 Enrollment ID: I20060421000196 |
Provider Name | Kim Zimmerman |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1700805173 PECOS PAC ID: 1153324447 Enrollment ID: I20060804000141 |
Provider Name | Pixie Plummer |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1972603793 PECOS PAC ID: 4486745445 Enrollment ID: I20070806000112 |
Provider Name | Eva H Chittenden |
---|---|
Provider Type | Practitioner - Hospice/palliative Care |
Provider Identifiers | NPI Number: 1093772758 PECOS PAC ID: 5395734412 Enrollment ID: I20080820000166 |
Provider Name | Genta Baci |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1720260367 PECOS PAC ID: 0244307577 Enrollment ID: I20080929000070 |
Provider Name | Rebecca E Alexander |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1902000664 PECOS PAC ID: 1658433123 Enrollment ID: I20081217000176 |
Provider Name | Cary K Hardwick |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1730325309 PECOS PAC ID: 3577629328 Enrollment ID: I20090304000190 |
Provider Name | Nicole Angelique Lheureux |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1720128960 PECOS PAC ID: 9335185073 Enrollment ID: I20090828000142 |
Provider Name | Deborah E Dreyfus |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1174563134 PECOS PAC ID: 9335294651 Enrollment ID: I20090909000591 |
Provider Name | Patricia A Laforme |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1861726168 PECOS PAC ID: 2668510488 Enrollment ID: I20091114000034 |
Provider Name | Kim M Tremblay |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1265429229 PECOS PAC ID: 6406994219 Enrollment ID: I20091117000094 |
Provider Name | Sigrid K Bergenstein |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1659675437 PECOS PAC ID: 0244414464 Enrollment ID: I20110413000567 |
Provider Name | Sarah E Long |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1639364441 PECOS PAC ID: 0941375810 Enrollment ID: I20110518000388 |
Provider Name | Biljana Simikic |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1669681995 PECOS PAC ID: 9638342447 Enrollment ID: I20111021000537 |
Provider Name | Vadra W Tabb |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1659442994 PECOS PAC ID: 2769655331 Enrollment ID: I20111026000398 |
Provider Name | Christine M Cannon |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1750602785 PECOS PAC ID: 8022271295 Enrollment ID: I20120525000384 |
Provider Name | Maryann Girardi |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1861778193 PECOS PAC ID: 1658528492 Enrollment ID: I20120829000562 |
Provider Name | Oluwatoyin Ajayi |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1790912426 PECOS PAC ID: 7517115298 Enrollment ID: I20120921000562 |
Provider Name | Benjamin Weiss |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1316179450 PECOS PAC ID: 9931351244 Enrollment ID: I20121213000363 |
Provider Name | Taryn F Mcgrath |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1760732820 PECOS PAC ID: 5092968636 Enrollment ID: I20130110000550 |
Provider Name | Michael D Tenenbaum |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1477802205 PECOS PAC ID: 6800040890 Enrollment ID: I20130128000357 |
Provider Name | Michelle L Piro |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1447224944 PECOS PAC ID: 5597700054 Enrollment ID: I20130129000437 |
Provider Name | Katherine M Felicio |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1699055830 PECOS PAC ID: 6507038312 Enrollment ID: I20130306000237 |
Provider Name | Alysa N Veidis |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1770614943 PECOS PAC ID: 7618112178 Enrollment ID: I20130404000172 |
Provider Name | Svetlana Borochin |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1609128149 PECOS PAC ID: 8628217312 Enrollment ID: I20130610000083 |
Provider Name | Keona D Lemons |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1811161458 PECOS PAC ID: 2961643432 Enrollment ID: I20130725000404 |
Provider Name | Jiyin Chou |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1689807786 PECOS PAC ID: 5092854869 Enrollment ID: I20131121000010 |
Provider Name | Karen Lea Byrd |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1578547980 PECOS PAC ID: 4385779909 Enrollment ID: I20131231001842 |
Provider Name | Elizabeth M Cherella |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1962674507 PECOS PAC ID: 0840428884 Enrollment ID: I20140121000022 |
Provider Name | Erin C Cormier |
---|---|
Provider Type | Practitioner - Other (non-physician) |
Provider Identifiers | NPI Number: 1932448214 PECOS PAC ID: 4385873587 Enrollment ID: I20140211000970 |
Provider Name | Franklin Erzuah |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1205262185 PECOS PAC ID: 7719118264 Enrollment ID: I20140326000068 |
Provider Name | Mericley M Santiago |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1770913410 PECOS PAC ID: 4284866393 Enrollment ID: I20140403001448 |
Provider Name | Evelyne Malfroy-camine |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1730328477 PECOS PAC ID: 1951533512 Enrollment ID: I20140414000486 |
Provider Name | Alexandra C Mccaffrey |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1194167825 PECOS PAC ID: 5890927206 Enrollment ID: I20140418000008 |
Provider Name | Vera B Belitsky |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1215367446 PECOS PAC ID: 0143453159 Enrollment ID: I20140428001758 |
Provider Name | Theresa M Lovejoy |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1164605200 PECOS PAC ID: 0648493692 Enrollment ID: I20140521000907 |
Provider Name | Brianna J Kiernan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1932532280 PECOS PAC ID: 1355567595 Enrollment ID: I20140724002240 |
Provider Name | Lourdnie C Cherisol |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1982030839 PECOS PAC ID: 1456448224 Enrollment ID: I20140801000042 |
Provider Name | Stacie H Selfridge |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1023438801 PECOS PAC ID: 0547489452 Enrollment ID: I20140908001748 |
Provider Name | Rayane Salerno |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790100097 PECOS PAC ID: 9537380357 Enrollment ID: I20141021000547 |
Provider Name | Kerrilyn Pessin |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1285023291 PECOS PAC ID: 1850619305 Enrollment ID: I20150413000916 |
Provider Name | Kassandra L Harwood |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1669612883 PECOS PAC ID: 2365753571 Enrollment ID: I20150615001395 |
Provider Name | Linda K Medeiros |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1255540415 PECOS PAC ID: 6709199961 Enrollment ID: I20150716001408 |
Provider Name | Sally P Siu |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1255528162 PECOS PAC ID: 4082923743 Enrollment ID: I20151020000435 |
Provider Name | Dhruva Kothari |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1063771574 PECOS PAC ID: 6305149154 Enrollment ID: I20160128000890 |
Provider Name | Swati J Patel |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1336317478 PECOS PAC ID: 2668631292 Enrollment ID: I20160218000576 |
Provider Name | Shaun L'esperance |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1386036457 PECOS PAC ID: 6002115409 Enrollment ID: I20160506001476 |
Provider Name | Thomas J Peteet |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1912267378 PECOS PAC ID: 8729210687 Enrollment ID: I20160914001793 |
Provider Name | Nicola C Tesorero |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1710345657 PECOS PAC ID: 6608156047 Enrollment ID: I20161201000701 |
Provider Name | Michaela Anne Kaddy |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1992114458 PECOS PAC ID: 0648492975 Enrollment ID: I20161228001185 |
Provider Name | Sarah D Kaye |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1992259741 PECOS PAC ID: 6709167760 Enrollment ID: I20170105001078 |
Provider Name | Kimberly Suvak |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1649723131 PECOS PAC ID: 8123301082 Enrollment ID: I20170220001732 |
Provider Name | Emily K Larkin |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1184173569 PECOS PAC ID: 9032495734 Enrollment ID: I20170412000872 |
Provider Name | Katherine M Antoniou |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1306217617 PECOS PAC ID: 2567749245 Enrollment ID: I20170505001337 |
Provider Name | Colleen M Hanlon |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1073932059 PECOS PAC ID: 8022380765 Enrollment ID: I20170816000361 |
Provider Name | Caroline Berchuck |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1215349683 PECOS PAC ID: 6103192364 Enrollment ID: I20171017000457 |
Provider Name | Kimberly K Hartgrove |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1518385822 PECOS PAC ID: 8820356348 Enrollment ID: I20171211000818 |
Provider Name | Patricia E Sullivan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346442886 PECOS PAC ID: 8426350406 Enrollment ID: I20180103002078 |
Provider Name | Michael Berdan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1295937795 PECOS PAC ID: 9234433673 Enrollment ID: I20180124000255 |
Provider Name | Carinne M Callahan |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1194907287 PECOS PAC ID: 5991064669 Enrollment ID: I20180126000130 |
Provider Name | Marisol Ramos |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881113561 PECOS PAC ID: 1951661214 Enrollment ID: I20180205002646 |
Provider Name | Benedicta W Kumahia |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801098322 PECOS PAC ID: 2860794849 Enrollment ID: I20180219000039 |
Provider Name | Reyna Lounsbury |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528252434 PECOS PAC ID: 8921361940 Enrollment ID: I20180404001157 |
Provider Name | James J Taylor |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1538441167 PECOS PAC ID: 8820351638 Enrollment ID: I20180409001902 |
Provider Name | Alanna Daley |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1063825735 PECOS PAC ID: 4880988393 Enrollment ID: I20180411002200 |
Provider Name | Justin E Vandenbosch |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1265972665 PECOS PAC ID: 3678837705 Enrollment ID: I20180426000274 |
Provider Name | Jennifer S Mcsheffrey |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1194227140 PECOS PAC ID: 0446501365 Enrollment ID: I20180914002554 |
Provider Name | Sasha Lee Ramos |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1548812506 PECOS PAC ID: 6608208319 Enrollment ID: I20191119001340 |
Provider Name | Caitlin Angelena Bove |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1972957355 PECOS PAC ID: 8628363025 Enrollment ID: I20200107001516 |
Provider Name | Nicole Carville-autry |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1427239912 PECOS PAC ID: 2769803360 Enrollment ID: I20200608001733 |
Provider Name | Catherine Jane Chambers |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1447339775 PECOS PAC ID: 4385749274 Enrollment ID: I20201007002106 |
Provider Name | Elizabeth Martell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1730676370 PECOS PAC ID: 3971923061 Enrollment ID: I20201012000037 |
Provider Name | Tracy Ellen Perkins |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1932682713 PECOS PAC ID: 2163832494 Enrollment ID: I20201027003461 |
Provider Name | Eunice D Jones |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1609492115 PECOS PAC ID: 5698186369 Enrollment ID: I20201201003141 |
Provider Name | Helen Pang |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1851944805 PECOS PAC ID: 8921419532 Enrollment ID: I20201202001797 |
Provider Name | Kaitlyn Dawn Drenckpohl |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1457978389 PECOS PAC ID: 5799197158 Enrollment ID: I20201209002001 |
Provider Name | Vijay Kotecha |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1578982815 PECOS PAC ID: 9032401971 Enrollment ID: I20210731000238 |
Provider Name | Supatchaya Tongtheng |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1093380446 PECOS PAC ID: 5991102188 Enrollment ID: I20211001000241 |
Provider Name | Kirsten De Leon |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528640455 PECOS PAC ID: 4981002458 Enrollment ID: I20211013003419 |
Provider Name | Nicole C. Cousins |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1952853004 PECOS PAC ID: 7618364472 Enrollment ID: I20220425002312 |
Provider Name | Lucette C Teixeira |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780251793 PECOS PAC ID: 8527445923 Enrollment ID: I20220524000266 |
Provider Name | Andey Amata-kynvi |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1609406164 PECOS PAC ID: 6305225749 Enrollment ID: I20220615001989 |
Provider Name | Bernard Martin Abbot |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1861913188 PECOS PAC ID: 0941676464 Enrollment ID: I20221028002046 |
Provider Name | Lorimar Cruz |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1225762115 PECOS PAC ID: 0446620983 Enrollment ID: I20221228001234 |
Provider Name | Jessie M Fisher |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1306577663 PECOS PAC ID: 3779956669 Enrollment ID: I20230223001083 |
Provider Name | Kerry T Suvak |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1912650581 PECOS PAC ID: 6406220581 Enrollment ID: I20230314000836 |
Provider Name | Emma Cope-flanagan |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1871104919 PECOS PAC ID: 3274990056 Enrollment ID: I20230609001531 |
Provider Name | Scott Anthony Olszewski |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1942489737 PECOS PAC ID: 4385098789 Enrollment ID: I20231003002011 |
Provider Name | Ken Ming Goon |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1326468083 PECOS PAC ID: 1850746272 Enrollment ID: I20231004003440 |
Provider Name | Ime Akpan-mahoney |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1952732547 PECOS PAC ID: 4981050184 Enrollment ID: I20231024003478 |
Provider Name | Jennifer Elizabeth Pinizzotto |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1669532479 PECOS PAC ID: 2860837820 Enrollment ID: I20240229001031 |
Provider Name | Kenneth Rupp |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1740724111 PECOS PAC ID: 3971949462 Enrollment ID: I20240306003467 |
Provider Name | Rachael Leah Simmons |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1548549512 PECOS PAC ID: 0749627073 Enrollment ID: I20240322001239 |
Provider Name | Melinda B Chase |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1710280946 PECOS PAC ID: 1052581980 Enrollment ID: I20240416001152 |
Provider Name | Adrienne T Senneville |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1588025258 PECOS PAC ID: 3476993957 Enrollment ID: I20240501000903 |
Provider Name | Marlena Smith |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1497232763 PECOS PAC ID: 6103368964 Enrollment ID: I20240607001520 |
Rong J Guan, Md Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 30 Kneeland St Fl 5, Boston, MA 02111 Phone: 617-290-9881 Fax: 617-350-6555 | |
Fenway Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1340 Boylston St, Boston, MA 02215 Phone: 617-927-4880 | |
Robert H. Wu. Md, Pc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 65 Harrison Ave Ste 308, Boston, MA 02111 Phone: 617-338-9889 | |
Barbara Mcinnis House Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 780 Albany St, Boston, MA 02118 Phone: 857-654-1000 Fax: 857-654-1100 | |
Pratt Medical Group, Inc - Gastroenterology Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 800 Washington St, Box 1013, Boston, MA 02111 Phone: 617-636-5000 | |
Pjtrains Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 14 Newbury St Ste 4, Boston, MA 02116 Phone: 857-205-2759 | |
Mhg Physician Services - Michigan Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 500 Harrison Ave, Boston, MA 02118 Phone: 855-340-4663 |