| Mashpee Service Unit/indian Health Service | |
|
483 Great Neck Road South Building 002-health Clinic Mashpee MA 02649 | |
| (508) 477-0209 | |
| (508) 477-1936 |
| Full Name | Mashpee Service Unit/indian Health Service |
|---|---|
| Speciality | Clinic/Center |
| Location | 483 Great Neck Road South, Mashpee, Massachusetts |
| Authorized Official Name and Position | Rita Ann Gonsalves (HEALTH SERVICE ADMINISTRATOR) |
| Authorized Official Contact | 5084770209 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mashpee Service Unit/indian Health Service 483 Great Neck Road South Building 001-admin Building Mashpee MA 02649 Ph: (508) 477-0209 | Mashpee Service Unit/indian Health Service 483 Great Neck Road South Building 002-health Clinic Mashpee MA 02649 Ph: (508) 477-0209 |
| NPI Number | 1992001457 |
|---|---|
| Provider Enumeration Date | 02/01/2011 |
| Last Update Date | 05/03/2023 |
| Medicare PECOS PAC ID | 5496916082 |
|---|---|
| Medicare Enrollment ID | O20120406000367 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992001457 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Primary |
| Provider Name | Kelsey A Simm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376936815 PECOS PAC ID: 8628399789 Enrollment ID: I20150602001500 |
| Provider Name | Rocco A Rossi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487966073 PECOS PAC ID: 9032405469 Enrollment ID: I20220318001005 |
| Provider Name | Medrina B Gilliam |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1952371783 PECOS PAC ID: 5193161172 Enrollment ID: I20240313000482 |
Community Health Center Of Cape Cod, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 107 Commercial St, Mashpee, MA 02649 Phone: 508-477-7090 Fax: 508-477-3090 | |
Mashpee Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5 Industrial Dr, Mashpee, MA 02649 Phone: 508-477-4282 Fax: 508-539-6134 | |
Community Health Center Of Cape Cod, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 107 Commercial St, Mashpee, MA 02649 Phone: 508-477-7090 Fax: 508-477-7028 | |
Mashpee Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5 Industrial Dr, Suite 100, Mashpee, MA 02649 Phone: 508-477-4282 Fax: 508-539-6134 |