Mattapan Community Health Center Inc - Medicare Primary Care in Boston, MA

Mattapan Community Health Center Inc is a medicare enrolled primary clinic (Clinic/center) in Boston, Massachusetts. The current practice location for Mattapan Community Health Center Inc is 1575 Blue Hill Ave, Boston, Massachusetts. For appointments, you can reach them via phone at (617) 296-0061. The mailing address for Mattapan Community Health Center Inc is 1575 Blue Hill Ave, Boston, Massachusetts and phone number is () -.

Mattapan Community Health Center Inc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1942869342. 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) 296-0061.

Contact Information

Mattapan Community Health Center Inc
1575 Blue Hill Ave
Boston
MA 02126-2122
(617) 296-0061
Not Available

Map and Direction


Primary Care Clinic Profile

Full NameMattapan Community Health Center Inc
SpecialityClinic/Center
Location1575 Blue Hill Ave, Boston, Massachusetts
Authorized Official Name and PositionGuale Valdez (PRESIDENT & CEO)
Authorized Official Contact6172960061
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mattapan Community Health Center Inc
1575 Blue Hill Ave
Boston
MA 02126-2122

Ph: () -
Mattapan Community Health Center Inc
1575 Blue Hill Ave
Boston
MA 02126-2122

Ph: (617) 296-0061

NPI Details:

NPI Number1942869342
Provider Enumeration Date06/10/2019
Last Update Date06/10/2019

Medicare PECOS Information:

Medicare PECOS PAC ID2062423866
Medicare Enrollment IDO20190617001304

Medical Identifiers

Medical identifiers for Mattapan Community Health Center Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1942869342NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261Q00000XClinic/center (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Mattapan Community Health Center Inc acts as a billing entity for following providers:
Provider NameNeena Chaturvedi
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1518091172
PECOS PAC ID: 2860463783
Enrollment ID: I20040804000694
Provider NameChristopher W Shanahan
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1730184854
PECOS PAC ID: 6901843499
Enrollment ID: I20050415000567
Provider NameTarma Johnson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1982781977
PECOS PAC ID: 2961430335
Enrollment ID: I20050728000149
Provider NameMarie O Girault
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1043379191
PECOS PAC ID: 1456384486
Enrollment ID: I20050912000378
Provider NameSuzanne E Rocklin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1679719686
PECOS PAC ID: 9335155597
Enrollment ID: I20060224000227
Provider NameGuirlene Jean-simon
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1326273442
PECOS PAC ID: 1052461126
Enrollment ID: I20090611000083
Provider NameAlice M O'leary
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1225000219
PECOS PAC ID: 8729269196
Enrollment ID: I20110218000565
Provider NameKeona D Lemons
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1811161458
PECOS PAC ID: 2961643432
Enrollment ID: I20130725000404
Provider NameAlison Tam
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1427378777
PECOS PAC ID: 7719119106
Enrollment ID: I20141010000792
Provider NameAimee F Williams
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1538505771
PECOS PAC ID: 1557593605
Enrollment ID: I20160928000822
Provider NameJocelyn Rinne
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1104324276
PECOS PAC ID: 1850653403
Enrollment ID: I20180320002570
Provider NameChandler H Christophe
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1053773515
PECOS PAC ID: 5890080436
Enrollment ID: I20191104002108
Provider NameLaura Livaditis
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1811381494
PECOS PAC ID: 3577875459
Enrollment ID: I20200723003076
Provider NameAlexandra Belcher-obejero-paz
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1952798704
PECOS PAC ID: 2062727290
Enrollment ID: I20201208000554
Provider NameTaffidy Joy Berrouette
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1912344300
PECOS PAC ID: 8527470087
Enrollment ID: I20201208000824
Provider NameSarah E. Enteen
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1821612623
PECOS PAC ID: 3678988938
Enrollment ID: I20210416000651
Provider NameHoward Lanney
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1720582406
PECOS PAC ID: 6800146218
Enrollment ID: I20210629002107
Provider NameGeeth Kavya Minama Reddy
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1174027171
PECOS PAC ID: 6305182338
Enrollment ID: I20211123000922
Provider NameDiane Quinones
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1588148217
PECOS PAC ID: 0345636320
Enrollment ID: I20220330001845
Provider NameSophonia Lucien
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1326390642
PECOS PAC ID: 3476802141
Enrollment ID: I20220507000050
Provider NameKlive M Forde
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1629331772
PECOS PAC ID: 5496970592
Enrollment ID: I20221005002620
Provider NameShauntelle Malcolm
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1225468804
PECOS PAC ID: 9537535224
Enrollment ID: I20221020002897
Provider NameVanessa C Bowen Newton
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1790853992
PECOS PAC ID: 4486098068
Enrollment ID: I20240222001675
Provider NameMichael Joseph Kushner
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1922626282
PECOS PAC ID: 1557706447
Enrollment ID: I20240301001210

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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.