| Michelle Mckenney, | |
|
100 Rosebrook Way, Wareham, MA 02571-1138 | |
| (508) 273-4901 | |
| (508) 973-4907 |
| Full Name | Michelle Mckenney |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 19 Years |
| Location | 100 Rosebrook Way, Wareham, Massachusetts |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518176320 | NPI | - | NPPES |
| 110095467A | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 253800 (Massachusetts) | Secondary |
| 2083B0002X | Preventive Medicine - Obesity Medicine | 253800 (Massachusetts) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Community Nurse Home Care | Fairhaven, MA | Home health agency |
| Southcoast Visiting Nurse Association Inc | Fairhaven, MA | Home health agency |
| Bayada Home Health Care, Inc | Falmouth, MA | Home health agency |
| Community Nurse Home Care, Inc | Fairhaven, MA | Hospice |
| Southcoast Hospitals Group | Fall river, MA | Hospital |
| Saint Anne's Hospital | Fall river, MA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southcoast Physicians Group Inc | 0749171957 | 872 |
| Entity Name | Prima Care, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265422596 PECOS PAC ID: 2567356017 Enrollment ID: O20040214000027 |
| Entity Name | Southcoast Physicians Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336137629 PECOS PAC ID: 0749171957 Enrollment ID: O20040920000138 |
| Mailing Address | Practice Location Address |
|---|---|
| Michelle Mckenney, 200 Mill Rd Ste 180, Fairhaven, MA 02719-5255 Ph: (508) 973-2000 | Michelle Mckenney, 100 Rosebrook Way, Wareham, MA 02571-1138 Ph: (508) 273-4901 |
Alexander Rabin, MD Preventive Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Rosebrook Way, Wareham, MA 02571 Phone: 508-273-4901 Fax: 508-973-4907 |