| Premier Healthcare Services, Llc | |
|
77 Wolcott Ave Dartmouth MA 02747-2459 | |
| (774) 202-7049 | |
| (774) 202-2839 |
| Full Name | Premier Healthcare Services, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 77 Wolcott Ave, Dartmouth, Massachusetts |
| Authorized Official Name and Position | William Thornson (PARTNER/OWNER) |
| Authorized Official Contact | 7742027049 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Healthcare Services, Llc 85 E Main St Fall River MA 02724-3348 Ph: (774) 526-4241 | Premier Healthcare Services, Llc 77 Wolcott Ave Dartmouth MA 02747-2459 Ph: (774) 202-7049 |
| NPI Number | 1174089163 |
|---|---|
| Provider Enumeration Date | 02/14/2019 |
| Last Update Date | 02/14/2019 |
| Medicare PECOS PAC ID | 9931442381 |
|---|---|
| Medicare Enrollment ID | O20190528001748 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174089163 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
| Provider Name | Miguel B Brillantes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609878859 PECOS PAC ID: 1557326824 Enrollment ID: I20041129000351 |
| Provider Name | John E Stively |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396779781 PECOS PAC ID: 0244284776 Enrollment ID: I20050308000965 |
| Provider Name | James V Quinn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073520607 PECOS PAC ID: 0941220610 Enrollment ID: I20051128000458 |
| Provider Name | Henry J Gravel |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1821044462 PECOS PAC ID: 4981625233 Enrollment ID: I20051214000320 |
| Provider Name | Paul I Bulat |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265459218 PECOS PAC ID: 5991726267 Enrollment ID: I20051214000505 |
| Provider Name | Joseph A Spirito |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790775963 PECOS PAC ID: 8224933494 Enrollment ID: I20070608000421 |
| Provider Name | Julianne Hetzler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477794170 PECOS PAC ID: 7517003023 Enrollment ID: I20091013000634 |
| Provider Name | Kenneth Bruce Boyd |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952363707 PECOS PAC ID: 5395761233 Enrollment ID: I20100823000492 |
| Provider Name | Eileen M Molloy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205110277 PECOS PAC ID: 3870741267 Enrollment ID: I20120910000203 |
| Provider Name | Thomas R Viveiros |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245589506 PECOS PAC ID: 3173776895 Enrollment ID: I20130109000163 |
| Provider Name | Pebbles L Stevens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407107022 PECOS PAC ID: 7911152251 Enrollment ID: I20130312000471 |
| Provider Name | Cynthia M Fagundes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427498922 PECOS PAC ID: 4183858301 Enrollment ID: I20131001000493 |
| Provider Name | Ashley C Paiva |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861808453 PECOS PAC ID: 5092937854 Enrollment ID: I20141111000331 |
| Provider Name | Megan L Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356888390 PECOS PAC ID: 8729354311 Enrollment ID: I20171026001376 |
| Provider Name | Rebecca Gaffney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124502737 PECOS PAC ID: 9537404660 Enrollment ID: I20181218003428 |
| Provider Name | Jondra Doyle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447801188 PECOS PAC ID: 0749616027 Enrollment ID: I20200204002916 |
| Provider Name | Stacey Almeida |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023648516 PECOS PAC ID: 8022448117 Enrollment ID: I20200413001790 |
| Provider Name | Hannah M Liebman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366975401 PECOS PAC ID: 0446523401 Enrollment ID: I20201021001696 |
| Provider Name | Thais Sousa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356061345 PECOS PAC ID: 2264818285 Enrollment ID: I20220928003154 |
| Provider Name | Colton M Cranson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235764754 PECOS PAC ID: 2668847286 Enrollment ID: I20230517001225 |
| Provider Name | Courtney Lynn Thibeault |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346748043 PECOS PAC ID: 1153683131 Enrollment ID: I20230929002583 |
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