| Hkd Outreach Pc | |
|
25 Melville Ave Dorchester MA 02124-2105 | |
| (617) 699-9329 | |
| (844) 564-1409 |
| Full Name | Hkd Outreach Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 25 Melville Ave, Dorchester, Massachusetts |
| Authorized Official Name and Position | Hung K Do (CEO) |
| Authorized Official Contact | 9787109877 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hkd Outreach Pc 25 Melville Ave Dorchester MA 02124-2105 Ph: (617) 699-9329 | Hkd Outreach Pc 25 Melville Ave Dorchester MA 02124-2105 Ph: (617) 699-9329 |
| NPI Number | 1982082723 |
|---|---|
| Provider Enumeration Date | 05/13/2015 |
| Last Update Date | 05/18/2022 |
| Certification Date | 05/18/2022 |
| Medicare PECOS PAC ID | 0547570806 |
|---|---|
| Medicare Enrollment ID | O20151117001695 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982082723 | NPI | - | NPPES |
| Provider Name | Hung K Do |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013069962 PECOS PAC ID: 2860578846 Enrollment ID: I20080401000279 |
| Provider Name | Noreen Iqbal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386808210 PECOS PAC ID: 3779753199 Enrollment ID: I20110823000255 |
| Provider Name | Venubabu Kandimalla |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1972734952 PECOS PAC ID: 9739338054 Enrollment ID: I20121004000027 |
| Provider Name | Cherisse Kitner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538591466 PECOS PAC ID: 4688800626 Enrollment ID: I20131120001993 |
| Provider Name | Adam Bied |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1104185586 PECOS PAC ID: 4082992607 Enrollment ID: I20161101001834 |
| Provider Name | Sarah Moquin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871165977 PECOS PAC ID: 4082003124 Enrollment ID: I20211111001862 |
| Provider Name | Amanda M Wielgus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467180554 PECOS PAC ID: 1759767494 Enrollment ID: I20221003002260 |
| Provider Name | Nancy Kilima |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689360489 PECOS PAC ID: 1456713122 Enrollment ID: I20230811001003 |
| Provider Name | Dennies Olever Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063983252 PECOS PAC ID: 6800242991 Enrollment ID: I20231025003415 |
| Provider Name | Katherine Leigh Pawlowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215705074 PECOS PAC ID: 9931550050 Enrollment ID: I20240112001582 |
| Provider Name | Alexandra Terwilliger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700653888 PECOS PAC ID: 8729423132 Enrollment ID: I20240226000955 |
| Provider Name | Sylvia Serwaa Darko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922742030 PECOS PAC ID: 2163869561 Enrollment ID: I20240321000173 |
| Provider Name | Teresia Karanja |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730920828 PECOS PAC ID: 9436698255 Enrollment ID: I20240826000318 |
| Provider Name | Ana Depina |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285384180 PECOS PAC ID: 6507390721 Enrollment ID: I20241111003497 |
| Provider Name | Alyssa Minasian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881387744 PECOS PAC ID: 8527588011 Enrollment ID: I20250227002123 |
| Provider Name | Edith Estrada Juhlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184221921 PECOS PAC ID: 8123540002 Enrollment ID: I20250320000859 |
| Provider Name | Mavis Amankwah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285377994 PECOS PAC ID: 7214452580 Enrollment ID: I20250418001570 |
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