| Guidelight Health Of Massachusetts, Llc | |
|
299 Lincoln St Ste 302 Worcester MA 01605-3646 | |
| (843) 425-1609 | |
| Not Available |
| Full Name | Guidelight Health Of Massachusetts, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 299 Lincoln St Ste 302, Worcester, Massachusetts |
| Authorized Official Name and Position | Charlie Sposato (HEAD OF PAYOR STRATEGY) |
| Authorized Official Contact | 2024158497 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Guidelight Health Of Massachusetts, Llc 500 Adams Ave Glencoe IL 60022-1865 Ph: () - | Guidelight Health Of Massachusetts, Llc 299 Lincoln St Ste 302 Worcester MA 01605-3646 Ph: (843) 425-1609 |
| NPI Number | 1225803943 |
|---|---|
| Provider Enumeration Date | 11/22/2023 |
| Last Update Date | 04/14/2025 |
| Certification Date | 04/14/2025 |
| Medicare PECOS PAC ID | 2062944994 |
|---|---|
| Medicare Enrollment ID | O20250307002967 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225803943 | NPI | - | NPPES |
| Provider Name | Chidi A Wamuo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487151569 PECOS PAC ID: 7618228305 Enrollment ID: I20230510001633 |
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