| Gateway To Wellness, Pllc | |
|
1 Carver Square Blvd Carver MA 02330-1200 | |
| (774) 667-0020 | |
| Not Available |
| Full Name | Gateway To Wellness, Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1 Carver Square Blvd, Carver, Massachusetts |
| Authorized Official Name and Position | Veronica Christina Lee (CEO) |
| Authorized Official Contact | 7744044896 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gateway To Wellness, Pllc Po Box 591 West Wareham MA 02576-0591 Ph: (774) 404-4896 | Gateway To Wellness, Pllc 1 Carver Square Blvd Carver MA 02330-1200 Ph: (774) 667-0020 |
| NPI Number | 1043071186 |
|---|---|
| Provider Enumeration Date | 01/16/2024 |
| Last Update Date | 01/16/2024 |
| Certification Date | 01/16/2024 |
| Medicare PECOS PAC ID | 6507201670 |
|---|---|
| Medicare Enrollment ID | O20240228002376 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043071186 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Veronica C Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669073805 PECOS PAC ID: 7618384835 Enrollment ID: I20210405001754 |
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