| Steward St. Anne's Hospital Corporation | |
| 
					795 Middle St Fall River MA 02721-1733  | |
| (508) 674-5600 | |
| Not Available | 
| Full Name | Steward St. Anne's Hospital Corporation | 
|---|---|
| Speciality | General Acute Care Hospital | 
| Location | 795 Middle St, Fall River, Massachusetts | 
| Authorized Official Name and Position | Paula A Wyman (CORP DIRECTOR OF REIMBURSEMENT) | 
| Authorized Official Contact | 7813753308 | 
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Steward St. Anne's Hospital Corporation 30 Perwal St Westwood MA 02090-1928 Ph: (781) 375-3308  | Steward St. Anne's Hospital Corporation 795 Middle St Fall River MA 02721-1733 Ph: (508) 674-5600  | 
| NPI Number | 1295027134 | 
|---|---|
| Provider Enumeration Date | 05/11/2011 | 
| Last Update Date | 01/12/2018 | 
| Medicare PECOS PAC ID | 3678760493 | 
|---|---|
| Medicare Enrollment ID | O20110912000586 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1295027134 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Secondary | 
| 282N00000X | General Acute Care Hospital | 2011 (Massachusetts) | Primary | 
| Provider Name | Jorge Andrade | 
|---|---|
| Provider Type | Practitioner - Internal Medicine | 
| Provider Identifiers | NPI Number: 1942261490 PECOS PAC ID: 3870497092 Enrollment ID: I20031120000438  | 
| Provider Name | Rajaratnam T Abraham | 
|---|---|
| Provider Type | Practitioner - Internal Medicine | 
| Provider Identifiers | NPI Number: 1891799748 PECOS PAC ID: 9739081522 Enrollment ID: I20040122000711  | 
| Provider Name | Nasser Karamouz | 
|---|---|
| Provider Type | Practitioner - Psychiatry | 
| Provider Identifiers | NPI Number: 1932186590 PECOS PAC ID: 6204828510 Enrollment ID: I20040330000633  | 
| Provider Name | L Pet | 
|---|---|
| Provider Type | Practitioner - Psychiatry | 
| Provider Identifiers | NPI Number: 1194745257 PECOS PAC ID: 9830187558 Enrollment ID: I20040503000838  | 
| Provider Name | Raymond B Khawand | 
|---|---|
| Provider Type | Practitioner - Emergency Medicine | 
| Provider Identifiers | NPI Number: 1952382558 PECOS PAC ID: 0749251429 Enrollment ID: I20040804001969  | 
| Provider Name | John Yang | 
|---|---|
| Provider Type | Practitioner - Hematology | 
| Provider Identifiers | NPI Number: 1013949551 PECOS PAC ID: 6305810417 Enrollment ID: I20040824001032  | 
| Provider Name | Andrew Sucov | 
|---|---|
| Provider Type | Practitioner - Emergency Medicine | 
| Provider Identifiers | NPI Number: 1841206976 PECOS PAC ID: 3678540069 Enrollment ID: I20040915000092  | 
| Provider Name | Hany A Mistikawy | 
|---|---|
| Provider Type | Practitioner - Internal Medicine | 
| Provider Identifiers | NPI Number: 1851399034 PECOS PAC ID: 6204880586 Enrollment ID: I20050309000689  | 
| Provider Name | John A Arcuri | 
|---|---|
| Provider Type | Practitioner - Emergency Medicine | 
| Provider Identifiers | NPI Number: 1255402236 PECOS PAC ID: 8729068903 Enrollment ID: I20050408000278  | 
| Provider Name | Stephen D Zuehlke | 
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) | 
| Provider Identifiers | NPI Number: 1023002052 PECOS PAC ID: 3779520531 Enrollment ID: I20050413000338  | 
| Provider Name | Bassem E Nasser | 
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) | 
| Provider Identifiers | NPI Number: 1881692952 PECOS PAC ID: 5890733125 Enrollment ID: I20050419000017  | 
| Provider Name | Randy J Averback | 
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) | 
| Provider Identifiers | NPI Number: 1417995721 PECOS PAC ID: 1850339664 Enrollment ID: I20050421001232  | 
| Provider Name | Danuta M Fichna | 
|---|---|
| Provider Type | Practitioner - Psychiatry | 
| Provider Identifiers | NPI Number: 1922020882 PECOS PAC ID: 1254371305 Enrollment ID: I20050509000045  | 
| Provider Name | Sheryl P Goodall | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1518948629 PECOS PAC ID: 2567404379 Enrollment ID: I20050523000633  | 
| Provider Name | Jose B Pestana | 
|---|---|
| Provider Type | Practitioner - Internal Medicine | 
| Provider Identifiers | NPI Number: 1356388052 PECOS PAC ID: 1951318047 Enrollment ID: I20060315000132  | 
| Provider Name | Christopher Joncas | 
|---|---|
| Provider Type | Practitioner - Internal Medicine | 
| Provider Identifiers | NPI Number: 1336136456 PECOS PAC ID: 2365459013 Enrollment ID: I20060321000497  | 
| Provider Name | Lucyna Z Czarnota Dolliver | 
|---|---|
| Provider Type | Practitioner - Psychiatry | 
| Provider Identifiers | NPI Number: 1982632006 PECOS PAC ID: 3678585205 Enrollment ID: I20060626000126  | 
| Provider Name | Zeyad Morcos | 
|---|---|
| Provider Type | Practitioner - Nephrology | 
| Provider Identifiers | NPI Number: 1235115361 PECOS PAC ID: 1456323070 Enrollment ID: I20060912000027  | 
| Provider Name | Tina Rizack | 
|---|---|
| Provider Type | Practitioner - Internal Medicine | 
| Provider Identifiers | NPI Number: 1932198082 PECOS PAC ID: 4385641950 Enrollment ID: I20061025000310  | 
| Provider Name | Gyorgy Bodrog | 
|---|---|
| Provider Type | Practitioner - Psychiatry | 
| Provider Identifiers | NPI Number: 1144425422 PECOS PAC ID: 0749378677 Enrollment ID: I20071110000058  | 
| Provider Name | Maria P Rumsey | 
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) | 
| Provider Identifiers | NPI Number: 1023295516 PECOS PAC ID: 5294809794 Enrollment ID: I20080731000723  | 
| Provider Name | Melanie L Cardoza | 
|---|---|
| Provider Type | Practitioner - Internal Medicine | 
| Provider Identifiers | NPI Number: 1427007921 PECOS PAC ID: 9032283346 Enrollment ID: I20080805000474  | 
| Provider Name | Charlene Ginalski Lambert | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1184748196 PECOS PAC ID: 6709922644 Enrollment ID: I20091007000549  | 
| Provider Name | Nicole Dasilva | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1336398817 PECOS PAC ID: 3274711999 Enrollment ID: I20110629000192  | 
| Provider Name | Deidre Donaldson | 
|---|---|
| Provider Type | Practitioner - Clinical Psychologist | 
| Provider Identifiers | NPI Number: 1164550216 PECOS PAC ID: 3577734136 Enrollment ID: I20110913000061  | 
| Provider Name | Kristina M Serena | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1184893109 PECOS PAC ID: 8426229006 Enrollment ID: I20110913000279  | 
| Provider Name | Arlette Arteaga | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1497885164 PECOS PAC ID: 5092986935 Enrollment ID: I20110926000172  | 
| Provider Name | Stanley Goodman | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1801178520 PECOS PAC ID: 7719148535 Enrollment ID: I20120420000581  | 
| Provider Name | Peter R Ward | 
|---|---|
| Provider Type | Practitioner - Hematology/oncology | 
| Provider Identifiers | NPI Number: 1831280973 PECOS PAC ID: 0042218646 Enrollment ID: I20121105000143  | 
| Provider Name | Carla-marie Niro | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1336427236 PECOS PAC ID: 2264604776 Enrollment ID: I20121228000097  | 
| Provider Name | Emily Ledonne | 
|---|---|
| Provider Type | Practitioner - Clinical Psychologist | 
| Provider Identifiers | NPI Number: 1750750139 PECOS PAC ID: 3971886037 Enrollment ID: I20170215001776  | 
| Provider Name | Renee A Rego | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1619213766 PECOS PAC ID: 7416221304 Enrollment ID: I20170915000771  | 
| Provider Name | Shelley A Cavallo | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1265085906 PECOS PAC ID: 2567835143 Enrollment ID: I20230301001555  | 
Lifespan Of Massachusetts - Fall River Inc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 795 Middle St, Fall River, MA 02721 Phone: 508-674-5600 Fax: 617-562-7241  | |
Neurohealth Consulting Pc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1822 N Main St Ste 6, Fall River, MA 02720 Phone: 401-924-1906 Fax: 508-466-6522  | |
Phoenix Psychiatric Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 Jeremiah Sullivan Dr, Fall River, MA 02721 Phone: 774-644-5629 Fax: 508-678-8100  | |
Made For More, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5 Merino St Apt 2, Fall River, MA 02723 Phone: 508-812-0724  | |
Fitzgerald Counseling Group Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 21 Father Devalles Blvd Ste 15, Fall River, MA 02723 Phone: 978-408-6446  | |
C & C Psychiatry Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 10 Purchase St Ste 301, Fall River, MA 02720 Phone: 774-644-2254  | |
Family Serivce Association Of Fall River Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 151 Rock St, Fall River, MA 02720 Phone: 508-678-7542  |