| Edward M. Kennedy Community Health Center, Inc | |
|
19 Tacoma St Worcester MA 01605-3516 | |
| (508) 852-1805 | |
| (508) 854-3248 |
| Full Name | Edward M. Kennedy Community Health Center, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 19 Tacoma St, Worcester, Massachusetts |
| Authorized Official Name and Position | Stephen J. Kerrigan (PRESIDENT & CEO) |
| Authorized Official Contact | 5088542122 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Edward M. Kennedy Community Health Center, Inc 115 Ne Cutoff Ste 200 Worcester MA 01606-1224 Ph: (508) 854-2122 | Edward M. Kennedy Community Health Center, Inc 19 Tacoma St Worcester MA 01605-3516 Ph: (508) 852-1805 |
| NPI Number | 1609842152 |
|---|---|
| Provider Enumeration Date | 02/24/2006 |
| Last Update Date | 01/31/2023 |
| Medicare PECOS PAC ID | 3476512740 |
|---|---|
| Medicare Enrollment ID | O20041004000840 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609842152 | NPI | - | NPPES |
| 0443891 | Medicaid | MA | |
| 1301071 | Medicaid | MA | |
| 110022061B | Medicaid | MA | |
| 1320858 | Medicaid | MA | |
| Y10100 | Other | MA | BCBS OF MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 4039 (Massachusetts) | Primary |
| Provider Name | Mary Josephine Seibel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205873833 PECOS PAC ID: 6709790173 Enrollment ID: I20031119000077 |
| Provider Name | Louis A Frank |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1215937685 PECOS PAC ID: 2163319062 Enrollment ID: I20040304000237 |
| Provider Name | Mark D Schechter |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1588639116 PECOS PAC ID: 6800881293 Enrollment ID: I20040415001111 |
| Provider Name | Pablo I Hernandez Itriago |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457362931 PECOS PAC ID: 8325018138 Enrollment ID: I20040729000140 |
| Provider Name | Arthur C Sgalia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104815695 PECOS PAC ID: 8729056734 Enrollment ID: I20040917000795 |
| Provider Name | Michele Pici |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831174754 PECOS PAC ID: 2567426703 Enrollment ID: I20041117000222 |
| Provider Name | Matthew J Collins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831157791 PECOS PAC ID: 5799736203 Enrollment ID: I20050202000268 |
| Provider Name | David Goldberg |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1265450423 PECOS PAC ID: 2062464209 Enrollment ID: I20050215001031 |
| Provider Name | Leonard Contardo |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1417911157 PECOS PAC ID: 6901850163 Enrollment ID: I20050310000189 |
| Provider Name | Nancy E Pratt |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689654683 PECOS PAC ID: 3375599368 Enrollment ID: I20050323000374 |
| Provider Name | Cynthia A Normandie |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1801972229 PECOS PAC ID: 0244286029 Enrollment ID: I20050324000491 |
| Provider Name | Brian A Lisse |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1316971070 PECOS PAC ID: 7113966219 Enrollment ID: I20050428000170 |
| Provider Name | Andrew Dilernia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518942515 PECOS PAC ID: 3678513199 Enrollment ID: I20050504000643 |
| Provider Name | Debra M Papa |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1053392019 PECOS PAC ID: 7416997697 Enrollment ID: I20050506000317 |
| Provider Name | Deval Shah Canning |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1336192251 PECOS PAC ID: 6608816624 Enrollment ID: I20050510000336 |
| Provider Name | Leonard Waice |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073529319 PECOS PAC ID: 2466494083 Enrollment ID: I20050524001071 |
| Provider Name | Suzanne Noury Holden |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1205890449 PECOS PAC ID: 9638113244 Enrollment ID: I20050615000061 |
| Provider Name | Donna L Raymond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407817687 PECOS PAC ID: 2769428713 Enrollment ID: I20050630000213 |
| Provider Name | Megan Mccoy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073599593 PECOS PAC ID: 2860407426 Enrollment ID: I20060217000633 |
| Provider Name | Mary A Fierro |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962468876 PECOS PAC ID: 4486664216 Enrollment ID: I20060425000086 |
| Provider Name | Jose M Molinar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982799714 PECOS PAC ID: 4789695792 Enrollment ID: I20060505000145 |
| Provider Name | Bridget C Hendricks |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1881618312 PECOS PAC ID: 2961406954 Enrollment ID: I20060906000107 |
| Provider Name | Scott D Wheeler |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1669489027 PECOS PAC ID: 1254339112 Enrollment ID: I20061201000342 |
| Provider Name | Margot P Shuman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1336183284 PECOS PAC ID: 6204937006 Enrollment ID: I20070724000235 |
| Provider Name | Allian Iffih |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750480927 PECOS PAC ID: 9335232701 Enrollment ID: I20070831000057 |
| Provider Name | Jennifer A Markey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083800916 PECOS PAC ID: 7517047491 Enrollment ID: I20080104000194 |
| Provider Name | Robynn Eisley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467637702 PECOS PAC ID: 8527143015 Enrollment ID: I20080307000357 |
| Provider Name | Amaryllis Teixeira |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568612349 PECOS PAC ID: 4385706886 Enrollment ID: I20081217000343 |
| Provider Name | Sandra L Marwill |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003874637 PECOS PAC ID: 7719042761 Enrollment ID: I20090209000203 |
| Provider Name | Samantha R Mekrut |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386850428 PECOS PAC ID: 8325198963 Enrollment ID: I20090602000716 |
| Provider Name | Joseph V Papandrea |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1538226170 PECOS PAC ID: 6103976907 Enrollment ID: I20090617000443 |
| Provider Name | Theodor Ene |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629235486 PECOS PAC ID: 2961557491 Enrollment ID: I20090903000705 |
| Provider Name | Usha S Rallapalli |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629203591 PECOS PAC ID: 4789730144 Enrollment ID: I20090926000069 |
| Provider Name | Anita L Kostecki |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295710119 PECOS PAC ID: 0244370740 Enrollment ID: I20091214000640 |
| Provider Name | Willa Kahn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578548491 PECOS PAC ID: 7315076098 Enrollment ID: I20100519000503 |
| Provider Name | Mary Gilman |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1225261266 PECOS PAC ID: 1052437340 Enrollment ID: I20100923001035 |
| Provider Name | Marianne Matz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588796056 PECOS PAC ID: 2567655210 Enrollment ID: I20101026000774 |
| Provider Name | Jennifer Damico |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1760456651 PECOS PAC ID: 1254301336 Enrollment ID: I20101115000374 |
| Provider Name | Laurie Costigan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1689638991 PECOS PAC ID: 3375739055 Enrollment ID: I20101119000779 |
| Provider Name | Manni Sethi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1700982857 PECOS PAC ID: 7113018557 Enrollment ID: I20101207000631 |
| Provider Name | Shubha Pai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669578712 PECOS PAC ID: 6608967070 Enrollment ID: I20101208000396 |
| Provider Name | Emily M Wu |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1174597959 PECOS PAC ID: 1850580218 Enrollment ID: I20110115000082 |
| Provider Name | Theresa O Doherty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043529597 PECOS PAC ID: 1951583905 Enrollment ID: I20110311000333 |
| Provider Name | Alia Khalaf |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1689974792 PECOS PAC ID: 6800074063 Enrollment ID: I20110617000424 |
| Provider Name | Rosa I Rincon-rivero |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1306168315 PECOS PAC ID: 9931379435 Enrollment ID: I20110818000684 |
| Provider Name | Audra Bake |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1700032927 PECOS PAC ID: 3173790334 Enrollment ID: I20120111000920 |
| Provider Name | Dilys Poku- Mensah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255569232 PECOS PAC ID: 0547427791 Enrollment ID: I20120131000616 |
| Provider Name | Elizabeth Dobles |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306807409 PECOS PAC ID: 5092972570 Enrollment ID: I20120210000787 |
| Provider Name | Richard L Szal |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1427014851 PECOS PAC ID: 9739347857 Enrollment ID: I20120221000702 |
| Provider Name | Gina E D Ottavio |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114902038 PECOS PAC ID: 4587823026 Enrollment ID: I20120302000085 |
| Provider Name | Jami Parsons Malloy |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1720302672 PECOS PAC ID: 6204086879 Enrollment ID: I20121017000778 |
| Provider Name | Jessica M Deglialberti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689920993 PECOS PAC ID: 9436309846 Enrollment ID: I20121020000019 |
| Provider Name | Kristen H Behrens |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1730434754 PECOS PAC ID: 8921250036 Enrollment ID: I20121218000034 |
| Provider Name | Kathryn M Chehade |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1740620749 PECOS PAC ID: 4284877481 Enrollment ID: I20130906000307 |
| Provider Name | Julia Randall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811209836 PECOS PAC ID: 6103050448 Enrollment ID: I20130930000014 |
| Provider Name | Ann Desloges |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497705586 PECOS PAC ID: 5991939902 Enrollment ID: I20131007000689 |
| Provider Name | Brian J Sullivan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306088943 PECOS PAC ID: 5193972636 Enrollment ID: I20131203000615 |
| Provider Name | Kerry L Folkman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497061535 PECOS PAC ID: 7315173994 Enrollment ID: I20131204001606 |
| Provider Name | Cynthia A Norton |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1790910040 PECOS PAC ID: 3577790195 Enrollment ID: I20131205001161 |
| Provider Name | Alison Catherine Quinn-beitscher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295043008 PECOS PAC ID: 3375776503 Enrollment ID: I20140423002164 |
| Provider Name | Kathleen P O'leary |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1790072650 PECOS PAC ID: 8325216112 Enrollment ID: I20140707000024 |
| Provider Name | Abigail Mathews |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124372966 PECOS PAC ID: 7416177050 Enrollment ID: I20141003000160 |
| Provider Name | Sarah Christine Tuffo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275932311 PECOS PAC ID: 2365663770 Enrollment ID: I20141029001008 |
| Provider Name | Kimberly Roberts-schultheis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013128586 PECOS PAC ID: 2668693854 Enrollment ID: I20141103000868 |
| Provider Name | Deirdre Kells |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275857153 PECOS PAC ID: 6901128784 Enrollment ID: I20141205000506 |
| Provider Name | Caroline A Durning |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487043972 PECOS PAC ID: 0143546937 Enrollment ID: I20150314000101 |
| Provider Name | Christine L Ditullio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932584950 PECOS PAC ID: 8325355357 Enrollment ID: I20150923001605 |
| Provider Name | Bronwyn Alfred |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164843843 PECOS PAC ID: 0749583417 Enrollment ID: I20160129001897 |
| Provider Name | Vannary Jarman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407097157 PECOS PAC ID: 2961706445 Enrollment ID: I20160203000951 |
| Provider Name | Aury N Moquete |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821481409 PECOS PAC ID: 9739489188 Enrollment ID: I20160205000460 |
| Provider Name | Thyra Gutierrez-sierra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982962916 PECOS PAC ID: 2668776600 Enrollment ID: I20160211000646 |
| Provider Name | Elena Cotulbea |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376740985 PECOS PAC ID: 1557496452 Enrollment ID: I20160907001973 |
| Provider Name | Satu M Salonen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790027548 PECOS PAC ID: 1658503263 Enrollment ID: I20160928001919 |
| Provider Name | Dinah Super |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720461957 PECOS PAC ID: 1052699378 Enrollment ID: I20161020001520 |
| Provider Name | Anna Mcmahan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396183083 PECOS PAC ID: 4183926140 Enrollment ID: I20161025002389 |
| Provider Name | Greta Grecchi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548715931 PECOS PAC ID: 8628356383 Enrollment ID: I20161031002204 |
| Provider Name | Sylvia Worrell |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437475290 PECOS PAC ID: 0042593246 Enrollment ID: I20170214001480 |
| Provider Name | Kathleen D Herrman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1780930271 PECOS PAC ID: 3375828403 Enrollment ID: I20170331001625 |
| Provider Name | Joseph M Stamm |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1295704559 PECOS PAC ID: 5698941433 Enrollment ID: I20170719001823 |
| Provider Name | Zachary T Bay |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568801397 PECOS PAC ID: 0749424257 Enrollment ID: I20170831002544 |
| Provider Name | Heather A Bell |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1710336201 PECOS PAC ID: 9436425790 Enrollment ID: I20171101001166 |
| Provider Name | Kavitha Ramakrishnan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952717837 PECOS PAC ID: 5092033092 Enrollment ID: I20171120000619 |
| Provider Name | Shanti Smitha Telikicherla Kandala |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1659756252 PECOS PAC ID: 9638445661 Enrollment ID: I20171211001000 |
| Provider Name | Alicia Cooksey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669842175 PECOS PAC ID: 1052679420 Enrollment ID: I20171213002305 |
| Provider Name | Diana Gurske |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184016776 PECOS PAC ID: 3072872605 Enrollment ID: I20180105000340 |
| Provider Name | Melissa Gleckel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194145037 PECOS PAC ID: 6709002082 Enrollment ID: I20180212001302 |
| Provider Name | Mengli Han |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1861946576 PECOS PAC ID: 5991091407 Enrollment ID: I20180426001713 |
| Provider Name | Corrine Potter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255880175 PECOS PAC ID: 7810245412 Enrollment ID: I20180730000930 |
| Provider Name | Sagitta Woodman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912408089 PECOS PAC ID: 9436408200 Enrollment ID: I20180828001941 |
| Provider Name | Stephanie Salvi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649797713 PECOS PAC ID: 3476803289 Enrollment ID: I20180829000187 |
| Provider Name | Richard Stephen Waters |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1629385224 PECOS PAC ID: 7113278599 Enrollment ID: I20180924003332 |
| Provider Name | Lauren M Bellerose |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295202570 PECOS PAC ID: 5698014835 Enrollment ID: I20190305002155 |
| Provider Name | David Thomas Pugliese |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1063852903 PECOS PAC ID: 9032348388 Enrollment ID: I20190315001392 |
| Provider Name | Lisetta D Shah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205221900 PECOS PAC ID: 8527376979 Enrollment ID: I20190320000132 |
| Provider Name | Anna Kun Zheng |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740609403 PECOS PAC ID: 8729355508 Enrollment ID: I20190320000437 |
| Provider Name | Emily Joy Swilling |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1972797009 PECOS PAC ID: 5496095986 Enrollment ID: I20190320000868 |
| Provider Name | Deena Solomon |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1730164328 PECOS PAC ID: 9335160217 Enrollment ID: I20190606001005 |
| Provider Name | Benjamin Sokoloff |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831553858 PECOS PAC ID: 9133415508 Enrollment ID: I20190723001877 |
| Provider Name | Edith Claros |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063970234 PECOS PAC ID: 4284961996 Enrollment ID: I20190802001876 |
| Provider Name | Jennifer Tran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164872008 PECOS PAC ID: 7012201775 Enrollment ID: I20190920000913 |
| Provider Name | Justin Ryan Eusebio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073166112 PECOS PAC ID: 9638401201 Enrollment ID: I20191031000719 |
| Provider Name | Andrea A Lewis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154805661 PECOS PAC ID: 8820320443 Enrollment ID: I20191031002953 |
| Provider Name | Sheetal Pramod Jutoor |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700270972 PECOS PAC ID: 5597198572 Enrollment ID: I20191205000359 |
| Provider Name | Jamie Catherine Kerr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235681438 PECOS PAC ID: 1658704408 Enrollment ID: I20191209001696 |
| Provider Name | Lenore Azaroff |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245617638 PECOS PAC ID: 1951604867 Enrollment ID: I20191209002255 |
| Provider Name | Jayasree Seshadri |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1215167879 PECOS PAC ID: 2264588854 Enrollment ID: I20191217000891 |
| Provider Name | Arielle Sara Ganem-rosen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720570229 PECOS PAC ID: 2961836580 Enrollment ID: I20200107001012 |
| Provider Name | Veronica Paris |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669871349 PECOS PAC ID: 7810324035 Enrollment ID: I20200228001840 |
| Provider Name | Teresia M Garad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043863434 PECOS PAC ID: 5395175749 Enrollment ID: I20200427000393 |
| Provider Name | Sydney Hausman Engel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851929988 PECOS PAC ID: 5890126023 Enrollment ID: I20200504000595 |
| Provider Name | Heather Louise Patrick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114409596 PECOS PAC ID: 2365868783 Enrollment ID: I20200817001627 |
| Provider Name | Laura L Mcgrail |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366920001 PECOS PAC ID: 9032537832 Enrollment ID: I20200910000269 |
| Provider Name | Laura Susanne Florman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326462698 PECOS PAC ID: 3274953682 Enrollment ID: I20201022003711 |
| Provider Name | Rafaela Vieira Dos Santos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205282548 PECOS PAC ID: 4486065232 Enrollment ID: I20201130001204 |
| Provider Name | Molly Jo Moore |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1174780902 PECOS PAC ID: 0345482659 Enrollment ID: I20201130001283 |
| Provider Name | Emily Hudson Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467921064 PECOS PAC ID: 0547675712 Enrollment ID: I20210222000159 |
| Provider Name | Jaya Rawla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043783608 PECOS PAC ID: 0446665632 Enrollment ID: I20210222001115 |
| Provider Name | Demi Mclaren |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063052827 PECOS PAC ID: 5698180800 Enrollment ID: I20210222001859 |
| Provider Name | Amiee Caruso |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144829177 PECOS PAC ID: 2466868146 Enrollment ID: I20210303002580 |
| Provider Name | Asha D Sethi |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1558551010 PECOS PAC ID: 5890870059 Enrollment ID: I20210604001460 |
| Provider Name | Gillian Sarah Rachel Richmond |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932691300 PECOS PAC ID: 6709114804 Enrollment ID: I20210729003546 |
| Provider Name | Yasinca Jennifer Monzon Cabrera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316415938 PECOS PAC ID: 2365849122 Enrollment ID: I20210921001708 |
| Provider Name | Sophia Rose Finocchi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629742150 PECOS PAC ID: 0143628560 Enrollment ID: I20211014002051 |
| Provider Name | Stefania Magali Peralta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003371634 PECOS PAC ID: 7911305305 Enrollment ID: I20211015001579 |
| Provider Name | Susan E Brusky |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285294108 PECOS PAC ID: 5799173043 Enrollment ID: I20211019003051 |
| Provider Name | Maria Luz Margulis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992115802 PECOS PAC ID: 3678967486 Enrollment ID: I20220221002018 |
| Provider Name | Olivia Grace Skalski |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1558818443 PECOS PAC ID: 9931593555 Enrollment ID: I20220224002545 |
| Provider Name | Lauren Nicole Fitzharris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811517329 PECOS PAC ID: 9931594389 Enrollment ID: I20220322000114 |
| Provider Name | Grace Frances Schierberl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750926093 PECOS PAC ID: 7315326154 Enrollment ID: I20220624000413 |
| Provider Name | Phouangmaly Mimi Oupravanh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346875531 PECOS PAC ID: 8527447200 Enrollment ID: I20220627002611 |
| Provider Name | Danielle Hunt Ortega |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619408051 PECOS PAC ID: 3870833098 Enrollment ID: I20220823002247 |
| Provider Name | Emma Gabrielle Polimeni |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376282004 PECOS PAC ID: 1052795606 Enrollment ID: I20220830004071 |
| Provider Name | Ilene Torchia Salgado |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1205377157 PECOS PAC ID: 5597141960 Enrollment ID: I20221008000014 |
| Provider Name | Leslie Ann Parrish |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740317965 PECOS PAC ID: 5799915393 Enrollment ID: I20221118001646 |
| Provider Name | Kathleen Denise Mendez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972178770 PECOS PAC ID: 5193190163 Enrollment ID: I20230404002209 |
| Provider Name | Alan Chua |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700588266 PECOS PAC ID: 8325404312 Enrollment ID: I20230517001856 |
| Provider Name | Corinne Gibbons |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568022986 PECOS PAC ID: 5890020960 Enrollment ID: I20230613001136 |
| Provider Name | Leila Crane Hoffman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518527068 PECOS PAC ID: 4688032279 Enrollment ID: I20230613003579 |
| Provider Name | Maria Santos Chafoya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235825951 PECOS PAC ID: 6901268952 Enrollment ID: I20230808003653 |
| Provider Name | Justin Michael Carrion |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1487388161 PECOS PAC ID: 1355705450 Enrollment ID: I20230907002755 |
| Provider Name | Kathleen Blake Maynard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043651623 PECOS PAC ID: 0446488332 Enrollment ID: I20230926002904 |
| Provider Name | Edward Charles Glazebrook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447919535 PECOS PAC ID: 4183071871 Enrollment ID: I20231117001872 |
| Provider Name | Nancyver Evraudy Lafleur-omeler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497445019 PECOS PAC ID: 2567813363 Enrollment ID: I20240105001559 |
| Provider Name | Lucia Eugenia Maneri |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1659426229 PECOS PAC ID: 2961854765 Enrollment ID: I20240117002756 |
| Provider Name | Adriana Patricia Vandroux |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1972711570 PECOS PAC ID: 5698127397 Enrollment ID: I20240118001607 |
| Provider Name | Ryan Ward |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1902476799 PECOS PAC ID: 5193169050 Enrollment ID: I20240219002380 |
| Provider Name | Javier Cifuentes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336829589 PECOS PAC ID: 0143667824 Enrollment ID: I20240318003318 |
| Provider Name | Jeffrey Madonna |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1659597391 PECOS PAC ID: 1850742503 Enrollment ID: I20240507003036 |
Jain Medical Group Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10 Winthrop St, Worcester, MA 01604 Phone: 508-799-4100 Fax: 508-799-2388 | |
Neh Healthcare Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 475 Pleasant St, Worcester, MA 01609 Phone: 508-735-3280 | |
Worcester Internal Medicine, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 416 Belmont St, Worcester, MA 01604 Phone: 508-756-1808 Fax: 508-798-0538 | |
Anthony Distefano, Jr Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 562 Lincoln St, Worcester, MA 01605 Phone: 508-852-6028 Fax: 508-721-7821 | |
Joseph J. Savitt, Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 Lincoln St, Worcester, MA 01605 Phone: 508-755-1222 Fax: 508-754-9479 | |
Demos Agiomavritis Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 385 Grove St, Suite 120, Worcester, MA 01605 Phone: 508-770-8002 Fax: 508-770-8006 | |
Community Health Link Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 72 Jacques Ave, Worcester, MA 01610 Phone: 508-860-1247 |