| Good Hope Wellness Incorporated | |
|
1188 County St Somerset MA 02726-5140 | |
| (508) 281-1064 | |
| (508) 281-4013 |
| Full Name | Good Hope Wellness Incorporated |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 1188 County St, Somerset, Massachusetts |
| Authorized Official Name and Position | Elena Amelia Cetola (DIRECTOR) |
| Authorized Official Contact | 5082811064 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Good Hope Wellness Incorporated 1188 County St Somerset MA 02726-5140 Ph: (508) 281-1064 | Good Hope Wellness Incorporated 1188 County St Somerset MA 02726-5140 Ph: (508) 281-1064 |
| NPI Number | 1285103028 |
|---|---|
| Provider Enumeration Date | 11/22/2018 |
| Last Update Date | 11/30/2023 |
| Certification Date | 11/30/2023 |
| Medicare PECOS PAC ID | 4183967474 |
|---|---|
| Medicare Enrollment ID | O20190530002232 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285103028 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | (* (Not Available)) | Primary |
| Provider Name | Elena Amelia Cetola |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467977843 PECOS PAC ID: 1951660208 Enrollment ID: I20180115000139 |
| Provider Name | Wendy Rayne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710564729 PECOS PAC ID: 4789086588 Enrollment ID: I20210716000230 |
| Provider Name | Kathleen P Briggs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871110767 PECOS PAC ID: 5799146056 Enrollment ID: I20230802003057 |
| Provider Name | Laurie Anne Marr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689351520 PECOS PAC ID: 5597108787 Enrollment ID: I20240205001970 |
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