| Visavis Health Care Medical Group Of Ma Pllc | |
|
15 Kirkbride Drive Danvers MA 01923 | |
| (929) 491-7333 | |
| Not Available |
| Full Name | Visavis Health Care Medical Group Of Ma Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 15 Kirkbride Drive, Danvers, Massachusetts |
| Authorized Official Name and Position | Rekha Bhandari (OWNER) |
| Authorized Official Contact | 2127346621 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Visavis Health Care Medical Group Of Ma Pllc 831 Bedford Ave Ste 530 Brooklyn NY 11205-2801 Ph: () - | Visavis Health Care Medical Group Of Ma Pllc 15 Kirkbride Drive Danvers MA 01923 Ph: (929) 491-7333 |
| NPI Number | 1053190223 |
|---|---|
| Provider Enumeration Date | 09/26/2023 |
| Last Update Date | 10/25/2023 |
| Medicare PECOS PAC ID | 5092162966 |
|---|---|
| Medicare Enrollment ID | O20231114003523 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053190223 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Carissa Marie Kelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821307646 PECOS PAC ID: 2264627132 Enrollment ID: I20101117001009 |
| Provider Name | Theresa O Doherty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043529597 PECOS PAC ID: 1951583905 Enrollment ID: I20110311000333 |
| Provider Name | Elizabeth O'doherty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720397755 PECOS PAC ID: 2264652601 Enrollment ID: I20141006002332 |
| Provider Name | Christine Dumont |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417207788 PECOS PAC ID: 8325360910 Enrollment ID: I20141210001284 |
| Provider Name | Ann F Fisher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528446085 PECOS PAC ID: 3476868530 Enrollment ID: I20150818005634 |
| Provider Name | Shannon Malcuit |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134575491 PECOS PAC ID: 0941592224 Enrollment ID: I20160706002284 |
| Provider Name | Jasmine Cenat |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326600131 PECOS PAC ID: 9638501802 Enrollment ID: I20191111000972 |
| Provider Name | Melvin Garcia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033732284 PECOS PAC ID: 2365861028 Enrollment ID: I20200929002451 |
| Provider Name | Ana Hubert |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528370897 PECOS PAC ID: 6406080613 Enrollment ID: I20221005003422 |
| Provider Name | Jessica Fichter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447643986 PECOS PAC ID: 5698087732 Enrollment ID: I20230324000821 |
| Provider Name | Ramon Trinidad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588211627 PECOS PAC ID: 2860829355 Enrollment ID: I20230720002251 |
| Provider Name | Akosua Neferteti Obeng-aduasare |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598311896 PECOS PAC ID: 7911238571 Enrollment ID: I20230914001717 |
| Provider Name | Julia Didesiderio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548717192 PECOS PAC ID: 9537441993 Enrollment ID: I20240102000242 |
| Provider Name | Shaneeza Obrian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588972145 PECOS PAC ID: 1052600665 Enrollment ID: I20240108004865 |
| Provider Name | Mariama Hubbard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518946763 PECOS PAC ID: 8628033156 Enrollment ID: I20240227002693 |
| Provider Name | Irmalynn Mooneyham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225470057 PECOS PAC ID: 4880838440 Enrollment ID: I20240311002842 |
| Provider Name | Mirlange Odies Fleuriot |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659835437 PECOS PAC ID: 3375874977 Enrollment ID: I20240318003311 |
| Provider Name | Jessica Palozie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881901742 PECOS PAC ID: 6305018045 Enrollment ID: I20240325000782 |
Center For Healthy Aging Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 480 Maple St, Center For Healthy Aging, Danvers, MA 01923 Phone: 866-479-3302 Fax: 978-921-7048 | |
Michael S. Gordon M.d. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 480 Maple St, Danvers, MA 01923 Phone: 978-304-8451 Fax: 978-304-8449 | |
Northeast Hospital Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 480 Maple St, Center For Healthy Aging, Danvers, MA 01923 Phone: 866-479-3302 Fax: 978-921-7048 | |
Ralph L Epstein Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 50 Reservoir Dr, Danvers, MA 01923 Phone: 617-504-4892 | |
Masstex Imaging, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3 Electronics Ave, Suite 201, Danvers, MA 01923 Phone: 800-508-6277 Fax: 978-232-0300 | |
Comeau Health Care Associates Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 194 North St, Danvers, MA 01923 Phone: 978-774-5600 Fax: 978-774-5601 |