| Integrated Care Partners, Pllc | |
|
884 Washington St Fl 2 Weymouth MA 02189-1530 | |
| (617) 909-5283 | |
| Not Available |
| Full Name | Integrated Care Partners, Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 884 Washington St Fl 2, Weymouth, Massachusetts |
| Authorized Official Name and Position | Teri Muir (ADMINISTRATOR) |
| Authorized Official Contact | 7744542893 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrated Care Partners, Pllc 884 Washington St Fl 2 Weymouth MA 02189-1530 Ph: (617) 909-5283 | Integrated Care Partners, Pllc 884 Washington St Fl 2 Weymouth MA 02189-1530 Ph: (617) 909-5283 |
| NPI Number | 1679168215 |
|---|---|
| Provider Enumeration Date | 03/05/2021 |
| Last Update Date | 07/13/2021 |
| Medicare PECOS PAC ID | 4385090075 |
|---|---|
| Medicare Enrollment ID | O20231101002152 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679168215 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Natalie Lender |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740371038 PECOS PAC ID: 2466423280 Enrollment ID: I20040804001538 |
| Provider Name | Anna M Coulstring |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336457191 PECOS PAC ID: 9133308265 Enrollment ID: I20110121000418 |
| Provider Name | Tanya Gershman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982321055 PECOS PAC ID: 0244601946 Enrollment ID: I20230117000635 |
| Provider Name | Kathryn Sutherland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578290938 PECOS PAC ID: 1052775855 Enrollment ID: I20230913000105 |
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