| Miss Krystal B Canavan, PA-C | |
|
50 Dodge St, Beverly, MA 01915-1711 | |
| (978) 922-2171 | |
| Not Available |
| Full Name | Miss Krystal B Canavan |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 18 Years |
| Location | 50 Dodge St, Beverly, Massachusetts |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235380601 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | PA2614 (Massachusetts) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Urgent Care Operations Pc | 6406141217 | 39 |
| Entity Name | Signature Healthcare Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508804949 PECOS PAC ID: 7719876267 Enrollment ID: O20040312000372 |
| Entity Name | Brockton Hospital, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063431286 PECOS PAC ID: 4082504733 Enrollment ID: O20040317000871 |
| Entity Name | South Shore Medical Center, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669411856 PECOS PAC ID: 3678487444 Enrollment ID: O20040413000332 |
| Entity Name | Coastal Medical Associates |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932175684 PECOS PAC ID: 7113029257 Enrollment ID: O20070221000057 |
| Entity Name | Massachusetts Express Care PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952725756 PECOS PAC ID: 1052536000 Enrollment ID: O20140707000917 |
| Entity Name | Urgent Care Operations PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417311309 PECOS PAC ID: 6406141217 Enrollment ID: O20160818000403 |
| Entity Name | South Shore Health Express Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477044212 PECOS PAC ID: 6406108836 Enrollment ID: O20181115000152 |
| Mailing Address | Practice Location Address |
|---|---|
| Miss Krystal B Canavan, PA-C 50 Dodge St, Beverly, MA 01915-1711 Ph: (978) 922-2171 | Miss Krystal B Canavan, PA-C 50 Dodge St, Beverly, MA 01915-1711 Ph: (978) 922-2171 |
Julia Constance Bertozzi, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 100 Cummings Ctr Ste 112d, Beverly, MA 01915 Phone: 978-778-3850 |
Jennifer A Vetter, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 30 Tozer Rd, Beverly, MA 01915 Phone: 978-712-1100 |
Mr. Chad Roggero, Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 77 Herrick St Ste 201, Beverly, MA 01915 Phone: 978-927-3040 Fax: 978-927-0443 |
Ms. Leonore Kristine Wald, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 36 Walcott Rd, Beverly, MA 01915 Phone: 978-969-5998 |
Deborah Mitchell, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 85 Herrick St, Beverly, MA 01915 Phone: 978-922-3000 |
Rachel Herwerth, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 138 Conant St, Beverly, MA 01915 Phone: 978-691-5690 |
Sharlene Ferrin, PAC Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 83 Herrick Street, Suite 3002, Beverly, MA 01915 Phone: 978-750-8300 Fax: 978-232-5717 |