| Prospect Hill Consultants Inc. | |
|
16 Waterhouse Rd Bourne MA 02532-3897 | |
| (508) 759-7279 | |
| (508) 888-7553 |
| Full Name | Prospect Hill Consultants Inc. |
|---|---|
| Speciality | Clinical Nurse Specialist |
| Location | 16 Waterhouse Rd, Bourne, Massachusetts |
| Authorized Official Name and Position | John Moore (VICE PRESIDENT) |
| Authorized Official Contact | 5087597279 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Prospect Hill Consultants Inc. 1 Dogwood Rd Bourne MA 02532-2227 Ph: () - | Prospect Hill Consultants Inc. 16 Waterhouse Rd Bourne MA 02532-3897 Ph: (508) 759-7279 |
| NPI Number | 1447496237 |
|---|---|
| Provider Enumeration Date | 12/28/2008 |
| Last Update Date | 12/28/2008 |
| Medicare PECOS PAC ID | 9436215985 |
|---|---|
| Medicare Enrollment ID | O20090306000532 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447496237 | NPI | - | NPPES |
| Provider Name | Harriet H Johnson |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1962572792 PECOS PAC ID: 2769409622 Enrollment ID: I20051031000024 |
| Provider Name | Paul Barnes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568521409 PECOS PAC ID: 5496802985 Enrollment ID: I20090421000323 |
| Provider Name | Christen N Correira |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720397573 PECOS PAC ID: 9931337136 Enrollment ID: I20140115001230 |
| Provider Name | Mark P. Caron |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073865077 PECOS PAC ID: 3779889662 Enrollment ID: I20160302000971 |
| Provider Name | Daina Peirce |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164557526 PECOS PAC ID: 5395024178 Enrollment ID: I20161118000476 |
| Provider Name | Janette Jennison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760840573 PECOS PAC ID: 5799060661 Enrollment ID: I20170316001699 |
| Provider Name | Tanya A White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003278235 PECOS PAC ID: 8426323809 Enrollment ID: I20171011001680 |
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