| Jamii Wellness And Behavioral Medicine, Llc | |
|
360 W Boylston St Rm 207 West Boylston MA 01583-2384 | |
| (978) 821-7288 | |
| Not Available |
| Full Name | Jamii Wellness And Behavioral Medicine, Llc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 360 W Boylston St Rm 207, West Boylston, Massachusetts |
| Authorized Official Name and Position | Mary Beth K. Yentz (NURSE PRACTITIONER) |
| Authorized Official Contact | 9788217288 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jamii Wellness And Behavioral Medicine, Llc 360 W Boylston St Rm 207 West Boylston MA 01583-2384 Ph: () - | Jamii Wellness And Behavioral Medicine, Llc 360 W Boylston St Rm 207 West Boylston MA 01583-2384 Ph: (978) 821-7288 |
| NPI Number | 1144853250 |
|---|---|
| Provider Enumeration Date | 02/17/2020 |
| Last Update Date | 02/17/2020 |
| Certification Date | 02/17/2020 |
| Medicare PECOS PAC ID | 7012347537 |
|---|---|
| Medicare Enrollment ID | O20200424001771 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144853250 | NPI | - | NPPES |
| Provider Name | Stella R Adu-gyamfi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033445051 PECOS PAC ID: 6103960489 Enrollment ID: I20100224000821 |
| Provider Name | Daron C Massey |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558522896 PECOS PAC ID: 1456516376 Enrollment ID: I20120627000375 |
| Provider Name | Mary Beth K Yentz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073097655 PECOS PAC ID: 0143564260 Enrollment ID: I20181130000832 |
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