Daniel Driscoll - Neponset Health Center - Medicare Primary Care in Dorchester, MA

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Daniel Driscoll - Neponset Health Center is a medicare enrolled primary clinic (Clinic/center - Community Health) in Dorchester, Massachusetts. The current practice location for Daniel Driscoll - Neponset Health Center is 398 Neponset Ave, Dorchester, Massachusetts. For appointments, you can reach them via phone at (617) 282-3200. The mailing address for Daniel Driscoll - Neponset Health Center is 1135 Morton Street, Mattapan, Massachusetts and phone number is (617) 533-2300.

Daniel Driscoll - Neponset Health Center is licensed to practice in Massachusetts (license number 4142). The clinic also participates in the medicare program and its NPI number is 1881692366. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (617) 282-3200.

Contact Information

Daniel Driscoll - Neponset Health Center
398 Neponset Ave
Dorchester
MA 02122-3134
(617) 282-3200
(617) 825-8577

Map and Direction


Primary Care Clinic Profile

Full NameDaniel Driscoll - Neponset Health Center
SpecialityClinic/Center
Location398 Neponset Ave, Dorchester, Massachusetts
Authorized Official Name and PositionCharles T. Jones (PRESIDENT / CEO)
Authorized Official Contact6175332350
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Daniel Driscoll - Neponset Health Center
1135 Morton Street
Mattapan
MA 02126-2834

Ph: (617) 533-2300		Daniel Driscoll - Neponset Health Center
398 Neponset Ave
Dorchester
MA 02122-3134

Ph: (617) 282-3200

NPI Details:

NPI Number1881692366
Provider Enumeration Date07/08/2005
Last Update Date07/08/2024

Medicare PECOS Information:

Medicare PECOS PAC ID0345146213
Medicare Enrollment IDO20040223000221

Medical Identifiers

Medical identifiers for Daniel Driscoll - Neponset Health Center such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1881692366NPI-NPPES
110027821BMedicaidMA
1302353MedicaidMA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QC1500XClinic/center - Community Health 4142 (Massachusetts)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Daniel Driscoll - Neponset Health Center acts as a billing entity for following providers:
Provider NameJeffrey F Markuns
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1184698474
PECOS PAC ID: 2163328907
Enrollment ID: I20031211000295
Provider NameSamir P Patel
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1457342420
PECOS PAC ID: 4183523319
Enrollment ID: I20040107000098
Provider NameMichele D Leaf
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1295707206
PECOS PAC ID: 0446236566
Enrollment ID: I20040628001444
Provider NameElizabeth Maffie
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1225123581
PECOS PAC ID: 7618956947
Enrollment ID: I20040719001173
Provider NameMeenakshi Kumar
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1417982513
PECOS PAC ID: 7810962172
Enrollment ID: I20040831000032
Provider NameAllison R Foley
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1013993260
PECOS PAC ID: 6204802978
Enrollment ID: I20040903000247
Provider NameLauren A Schroder
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1619952355
PECOS PAC ID: 3678522976
Enrollment ID: I20050113000454
Provider NameDeborah Kylander
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1528046372
PECOS PAC ID: 0547215493
Enrollment ID: I20050314001012
Provider NameTerri A Betts
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1730392812
PECOS PAC ID: 9436104528
Enrollment ID: I20050322000619
Provider NameRichard M Lubens
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1730174392
PECOS PAC ID: 6305892332
Enrollment ID: I20050323000599
Provider NameRobert D Sigadel
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1740294214
PECOS PAC ID: 6406802354
Enrollment ID: I20050324000098
Provider NameGary Taylor
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1952390007
PECOS PAC ID: 1153389044
Enrollment ID: I20050329001103
Provider NameMary L Ashur
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1033109343
PECOS PAC ID: 3678520285
Enrollment ID: I20050406000269
Provider NameJudith L Steinberg
Provider TypePractitioner - Infectious Disease
Provider IdentifiersNPI Number: 1720063670
PECOS PAC ID: 3173560026
Enrollment ID: I20050412000725
Provider NameClara Y Jones
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1669534418
PECOS PAC ID: 5496792384
Enrollment ID: I20050412001165
Provider NameLisa M Duniec Vergakis
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1093891087
PECOS PAC ID: 9032159553
Enrollment ID: I20050504000647
Provider NameKenneth J Stillman
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1053394726
PECOS PAC ID: 9830134774
Enrollment ID: I20050622000347
Provider NameCharmaine L Desir
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1992780720
PECOS PAC ID: 7012952542
Enrollment ID: I20050624000140
Provider NameHong Thao N Thieu
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1982682076
PECOS PAC ID: 8628004504
Enrollment ID: I20050712000780
Provider NameJonathan M Pincus
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1043234099
PECOS PAC ID: 8729015235
Enrollment ID: I20050726000576
Provider NameJohn C Dabrowski
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1750368841
PECOS PAC ID: 4082642806
Enrollment ID: I20050802000410
Provider NameLeonid Kotkin
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1326035825
PECOS PAC ID: 5294750998
Enrollment ID: I20051012000131
Provider NameKevin J Ennis
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1508804725
PECOS PAC ID: 9234175860
Enrollment ID: I20051019000508
Provider NameCarrie J Galhouse
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1427093830
PECOS PAC ID: 4183644289
Enrollment ID: I20051205000502
Provider NameAmy Hannon Baron
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1346223617
PECOS PAC ID: 2365464542
Enrollment ID: I20060103000156
Provider NameKathleen Murphy
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1093818668
PECOS PAC ID: 1355365404
Enrollment ID: I20060117000631
Provider NameLeslie B Washburn
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1053365205
PECOS PAC ID: 4486678976
Enrollment ID: I20060124000236
Provider NameAlexandra M Shea
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1982689634
PECOS PAC ID: 2860406808
Enrollment ID: I20060130000598
Provider NameJean Marie Pastorello
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1679558415
PECOS PAC ID: 4981618741
Enrollment ID: I20060131000798
Provider NameMonera B Wong
Provider TypePractitioner - Geriatric Medicine
Provider IdentifiersNPI Number: 1518927581
PECOS PAC ID: 2163439589
Enrollment ID: I20060309000559
Provider NameYen-linh Nguyen
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1558471672
PECOS PAC ID: 8426067075
Enrollment ID: I20060411000170
Provider NameRobert S Chasen
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1184695462
PECOS PAC ID: 2769491273
Enrollment ID: I20060411000663
Provider NameIlona M Kopits
Provider TypePractitioner - Geriatric Medicine
Provider IdentifiersNPI Number: 1477622512
PECOS PAC ID: 1658373303
Enrollment ID: I20070208000346
Provider NameJennifer Anderson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1528114550
PECOS PAC ID: 2668453689
Enrollment ID: I20070609000067
Provider NameLily A Kam
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1891761458
PECOS PAC ID: 4981694205
Enrollment ID: I20070824000472
Provider NameSonia Lipson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1396730800
PECOS PAC ID: 6608961958
Enrollment ID: I20071001000688
Provider NameRaquel Vargas-vila
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1427124650
PECOS PAC ID: 1355331638
Enrollment ID: I20071010000776
Provider NamePamela M Schuster
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1336332360
PECOS PAC ID: 3476638701
Enrollment ID: I20080311000597
Provider NameAlex I Varghese
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1679788657
PECOS PAC ID: 4385712991
Enrollment ID: I20081009000532
Provider NameElly Tsai
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1346404563
PECOS PAC ID: 0345309761
Enrollment ID: I20081030000125
Provider NameCraig Champion
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1629251749
PECOS PAC ID: 8921160359
Enrollment ID: I20081219000023
Provider NameRichard Kalish
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1154394955
PECOS PAC ID: 8628132826
Enrollment ID: I20090203000573
Provider NameBrian K Bond
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1326161225
PECOS PAC ID: 1759435431
Enrollment ID: I20090814000149
Provider NameSarah Lay
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1528184835
PECOS PAC ID: 1153469747
Enrollment ID: I20091119000415
Provider NameTatyana Mesh
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1679750939
PECOS PAC ID: 8325176241
Enrollment ID: I20100513000101
Provider NameSamuel C Rivers
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1982758041
PECOS PAC ID: 2466585062
Enrollment ID: I20100803000918
Provider NameWesley Neal Klein
Provider TypePractitioner - Addiction Medicine
Provider IdentifiersNPI Number: 1609193366
PECOS PAC ID: 1759405251
Enrollment ID: I20100907000519
Provider NameElizabeth Nowak
Provider TypePractitioner - Geriatric Medicine
Provider IdentifiersNPI Number: 1871606426
PECOS PAC ID: 5092902320
Enrollment ID: I20101213000044
Provider NameNorman C Sweet
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1083944383
PECOS PAC ID: 0345438628
Enrollment ID: I20101230000984
Provider NamePatricia L Tucker
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1225078892
PECOS PAC ID: 1557546611
Enrollment ID: I20110505000085
Provider NameNkechinyere N Wilson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1780982884
PECOS PAC ID: 6002085032
Enrollment ID: I20110809000564
Provider NameJanaki S Fonseka
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1063694438
PECOS PAC ID: 1759421720
Enrollment ID: I20111103000255
Provider NameKristen L Barletta
Provider TypePractitioner - Certified Clinical Nurse Specialist (cns)
Provider IdentifiersNPI Number: 1033404298
PECOS PAC ID: 9032382106
Enrollment ID: I20111105000011
Provider NameJean Whitten
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1265477145
PECOS PAC ID: 3476729864
Enrollment ID: I20120106000267
Provider NameSharene Nubani
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1184914103
PECOS PAC ID: 6901060029
Enrollment ID: I20120620000726
Provider NameDebborah Smyth
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1013238864
PECOS PAC ID: 6800049891
Enrollment ID: I20121221000349
Provider NameMichael A Kramer
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1760412613
PECOS PAC ID: 9537124045
Enrollment ID: I20130103000372
Provider NameJanice J Pegels
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1619962537
PECOS PAC ID: 8123125606
Enrollment ID: I20130515000208
Provider NameMelissa K Capotosto
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1205171444
PECOS PAC ID: 8921248063
Enrollment ID: I20130712000397
Provider NameJulia Barbosa
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1326485988
PECOS PAC ID: 2567603111
Enrollment ID: I20130725000067
Provider NameHuy Duc Do
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1679890099
PECOS PAC ID: 5496904104
Enrollment ID: I20130917000293
Provider NameAlexander Griffin
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1417104902
PECOS PAC ID: 1658552609
Enrollment ID: I20140320000013
Provider NameKihyuk Yoo
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1881906626
PECOS PAC ID: 4183855232
Enrollment ID: I20140402002184
Provider NameFrancesca M Villanueva
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1114349529
PECOS PAC ID: 4789807819
Enrollment ID: I20140519001239
Provider NameTarcia Edmunds-jehu
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1306946942
PECOS PAC ID: 0244453629
Enrollment ID: I20140604000185
Provider NameUmar Shakur
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1982799854
PECOS PAC ID: 9032301775
Enrollment ID: I20140725001895
Provider NameLaura C Reis
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1811267131
PECOS PAC ID: 4880849058
Enrollment ID: I20141104001864
Provider NameCaitlin Trilla
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1104229442
PECOS PAC ID: 2961724935
Enrollment ID: I20141202000277
Provider NameKimberly Hansen Polonsky
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1073954590
PECOS PAC ID: 8820226558
Enrollment ID: I20150218000650
Provider NameMichol Negron
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1346209665
PECOS PAC ID: 2062407976
Enrollment ID: I20150601001571
Provider NameMegan L Evans
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1871888172
PECOS PAC ID: 3870806797
Enrollment ID: I20150722003563
Provider NameSarah C O'brien
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1558694760
PECOS PAC ID: 1153581749
Enrollment ID: I20160509001596
Provider NameClaire-cecile Pierre
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1770707242
PECOS PAC ID: 4587696729
Enrollment ID: I20160509001885
Provider NameElizabeth A. Niedzwiecki
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1881028249
PECOS PAC ID: 8325333255
Enrollment ID: I20160817000784
Provider NameThomas P Fantes
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1972500429
PECOS PAC ID: 7416045034
Enrollment ID: I20160818002134
Provider NameLauren E. Scott
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1194179234
PECOS PAC ID: 8628364957
Enrollment ID: I20160912002498
Provider NameAshmeet Bhatia
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1205130507
PECOS PAC ID: 3971741919
Enrollment ID: I20160923000856
Provider NameLauren E Iacovino
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1639547441
PECOS PAC ID: 9234418492
Enrollment ID: I20161111000768
Provider NameLady-thelma W James
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1447562335
PECOS PAC ID: 6901172600
Enrollment ID: I20171025000806
Provider NameHarold P Dietzius
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1649253790
PECOS PAC ID: 5597849646
Enrollment ID: I20171113002771
Provider NameColleen Forrest
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1295123974
PECOS PAC ID: 4385969757
Enrollment ID: I20171114002916
Provider NameJorge Andres Rodriguez
Provider TypePractitioner - Dentist
Provider IdentifiersNPI Number: 1447429733
PECOS PAC ID: 7214274729
Enrollment ID: I20190122002719
Provider NameLaura B Anthony
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1033569041
PECOS PAC ID: 5395039986
Enrollment ID: I20190523001110
Provider NameDeena Solomon
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1730164328
PECOS PAC ID: 9335160217
Enrollment ID: I20190606001005
Provider NameAlina Costa Salustiano
Provider TypePractitioner - Dentist
Provider IdentifiersNPI Number: 1538611603
PECOS PAC ID: 3274813126
Enrollment ID: I20190920000547
Provider NameJoao Costa
Provider TypePractitioner - Dentist
Provider IdentifiersNPI Number: 1528246121
PECOS PAC ID: 7911298781
Enrollment ID: I20190920000644
Provider NameMonica Teresa Paz
Provider TypePractitioner - Dentist
Provider IdentifiersNPI Number: 1710998695
PECOS PAC ID: 1951631738
Enrollment ID: I20190920000686
Provider NameJennifer Baum
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1932650967
PECOS PAC ID: 3870824899
Enrollment ID: I20191007000042
Provider NameCezar B Martini
Provider TypePractitioner - Dentist
Provider IdentifiersNPI Number: 1144205915
PECOS PAC ID: 3476844994
Enrollment ID: I20191007000081
Provider NameIslam Eldib
Provider TypePractitioner - Dentist
Provider IdentifiersNPI Number: 1609306703
PECOS PAC ID: 8426328782
Enrollment ID: I20191007000395
Provider NameStephanie Danielle Gibbons
Provider TypePractitioner - Dentist
Provider IdentifiersNPI Number: 1528626660
PECOS PAC ID: 8729319520
Enrollment ID: I20191009001041
Provider NameThanh My Luc
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1396261533
PECOS PAC ID: 6608141171
Enrollment ID: I20191011001333
Provider NameKhaled Abdelmoneim Eldawy
Provider TypePractitioner - Dentist
Provider IdentifiersNPI Number: 1043871262
PECOS PAC ID: 2163754128
Enrollment ID: I20191024002609
Provider NameSusan E Hardy
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1124091905
PECOS PAC ID: 0648259069
Enrollment ID: I20191112000281
Provider NameVictoria C Rines
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1225686124
PECOS PAC ID: 3779915350
Enrollment ID: I20191120001069
Provider NameChristopher Bernard Rabidou
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1841706249
PECOS PAC ID: 6507298015
Enrollment ID: I20191120002978
Provider NameRebekka Shelby Bean
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1063058592
PECOS PAC ID: 5597190801
Enrollment ID: I20200115000336
Provider NamePradeep Venigalla
Provider TypePractitioner - Dentist
Provider IdentifiersNPI Number: 1679708333
PECOS PAC ID: 1759684004
Enrollment ID: I20200227002561
Provider NameJudy Tran
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1851820187
PECOS PAC ID: 0244667392
Enrollment ID: I20200302000784
Provider NameAlexandre Luciano Dias
Provider TypePractitioner - Dentist
Provider IdentifiersNPI Number: 1801434022
PECOS PAC ID: 7618306143
Enrollment ID: I20200406000101
Provider NameKaitlyn Dawn Drenckpohl
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1457978389
PECOS PAC ID: 5799197158
Enrollment ID: I20201209002001
Provider NameSamatha V Evans
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1528643624
PECOS PAC ID: 0941602924
Enrollment ID: I20210713003410
Provider NameMadison C. Tombari
Provider TypePractitioner - Dentist
Provider IdentifiersNPI Number: 1629655121
PECOS PAC ID: 2163825175
Enrollment ID: I20210728003675
Provider NamePatricia A Gillan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1457428161
PECOS PAC ID: 8729484241
Enrollment ID: I20210909000841
Provider NameUgochukwu Prince Ukonu
Provider TypePractitioner - Osteopathic Manipulative Medicine
Provider IdentifiersNPI Number: 1639586845
PECOS PAC ID: 4688943228
Enrollment ID: I20211027002520
Provider NameLauren Duffey
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1003421371
PECOS PAC ID: 7214325323
Enrollment ID: I20211215001964
Provider NameDelia Rissmiller
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1043876345
PECOS PAC ID: 8729468582
Enrollment ID: I20220711001814
Provider NameBrittany Golden
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1912353756
PECOS PAC ID: 2264808088
Enrollment ID: I20221019003134
Provider NameStephanie Valdivia
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1902411820
PECOS PAC ID: 1254742448
Enrollment ID: I20230110001677
Provider NameSou Lor Barrientos
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1619473956
PECOS PAC ID: 1052784196
Enrollment ID: I20230310000933
Provider NameNaomie Robert
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1841902970
PECOS PAC ID: 7618341256
Enrollment ID: I20230321002193
Provider NameMarissa Fernandez Kiemele
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1144297516
PECOS PAC ID: 0547212300
Enrollment ID: I20230605001900
Provider NameVinh Nguyen
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1164045720
PECOS PAC ID: 9830505635
Enrollment ID: I20230630002860
Provider NameAmanda Carlos
Provider TypePractitioner - Dentist
Provider IdentifiersNPI Number: 1528766060
PECOS PAC ID: 0143681825
Enrollment ID: I20230727001442
Provider NameChandni Amaresan Patel
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1497330286
PECOS PAC ID: 9537521224
Enrollment ID: I20230811001830
Provider NameSidrah Rehman
Provider TypePractitioner - Dentist
Provider IdentifiersNPI Number: 1831877240
PECOS PAC ID: 7214384015
Enrollment ID: I20231116001424
Provider NameAndrew George Tenhave
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1770645608
PECOS PAC ID: 9032398300
Enrollment ID: I20240308000156
Provider NameHaider Karkoosh
Provider TypePractitioner - Dentist
Provider IdentifiersNPI Number: 1710764733
PECOS PAC ID: 9234579350
Enrollment ID: I20240506003450

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Practice Location: 637 Washington Street, Dorchester, MA 02124
Phone: 617-825-9660    Fax: 617-288-7898

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.