| Ms Melissa Dipasquale, MA | |
|
235 N Pearl St, Brockton, MA 02301-1794 | |
| (617) 414-4505 | |
| Not Available |
| Full Name | Ms Melissa Dipasquale |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 235 N Pearl St, Brockton, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669771614 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | LMHC9213 (Massachusetts) | Primary |
| Entity Name | Bmc Affiliated Physicians, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245320910 PECOS PAC ID: 9830133123 Enrollment ID: O20050617000054 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Melissa Dipasquale, MA 960 Massachusetts Ave Ste 2, Boston, MA 02118-2690 Ph: (617) 414-4505 | Ms Melissa Dipasquale, MA 235 N Pearl St, Brockton, MA 02301-1794 Ph: (617) 414-4505 |
Mrs. Neena Nicole Mcconnico, M.A., LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 95 River St, Brockton, MA 02302 Phone: 508-580-8546 | |
Cecilia Vicente, Counselor Medicare: Not Enrolled in Medicare Practice Location: 231 Main St, Suite 300, Brockton, MA 02301 Phone: 508-586-2660 Fax: 508-427-1505 | |
Krista Hojlo, MSW, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 67 Brian Dr, Brockton, MA 02301 Phone: 508-245-1566 | |
Pamela Cummisky, Counselor Medicare: Not Enrolled in Medicare Practice Location: 30 Meadowbrook Rd, Brockton, MA 02301 Phone: 774-628-1000 | |
Thalia Dominguez, NREMT, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 56 Cherry St, Brockton, MA 02301 Phone: 508-580-0801 | |
Janice Marie Johnson-plumer, Counselor Medicare: Not Enrolled in Medicare Practice Location: 231 Main St Fl 3, Brockton, MA 02301 Phone: 508-586-2660 | |
Deborah G Stromberg, Counselor Medicare: Not Enrolled in Medicare Practice Location: 37 Belmont St, Brockton, MA 02301 Phone: 508-580-4691 Fax: 508-588-5751 |