| Danvers Family Doctors, Pc | |
|
1 Roosevelt Ave Ste 204 Peabody MA 01960-2227 | |
| (978) 762-6262 | |
| (978) 750-8312 |
| Full Name | Danvers Family Doctors, Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 1 Roosevelt Ave Ste 204, Peabody, Massachusetts |
| Authorized Official Name and Position | Donna Benton (OFFICE MANAGER) |
| Authorized Official Contact | 9787626262 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Danvers Family Doctors, Pc 1 Roosevelt Ave Ste 204 Peabody MA 01960-2227 Ph: (978) 762-6262 | Danvers Family Doctors, Pc 1 Roosevelt Ave Ste 204 Peabody MA 01960-2227 Ph: (978) 762-6262 |
| NPI Number | 1902903115 |
|---|---|
| Provider Enumeration Date | 09/20/2006 |
| Last Update Date | 12/13/2023 |
| Medicare PECOS PAC ID | 9032153895 |
|---|---|
| Medicare Enrollment ID | O20050614000185 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902903115 | NPI | - | NPPES |
| 9723480 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Massachusetts) | Primary |
| Provider Name | Subroto Bhattacharya |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053341685 PECOS PAC ID: 8022052885 Enrollment ID: I20100115000333 |
| Provider Name | Jennifer Nicole Richardson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669529392 PECOS PAC ID: 0840396701 Enrollment ID: I20120507000734 |
| Provider Name | Sara Dean Castantini |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477929610 PECOS PAC ID: 8820307028 Enrollment ID: I20170801001187 |
| Provider Name | Hayley Christine Mateen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982393492 PECOS PAC ID: 0840657151 Enrollment ID: I20230601000254 |
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