| Biana Korjevsky Mico, FNP-BC | |
|
195 Worcester St, Suite 102, Wellesley, MA 02481-5568 | |
| (617) 219-1510 | |
| Not Available |
| Full Name | Biana Korjevsky Mico |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 195 Worcester St, Wellesley, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295111888 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | RN2278675 (Massachusetts) | Primary |
| Entity Name | Mass General Brigham Medical Group Suburban Massachusetts Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538191218 PECOS PAC ID: 0244133494 Enrollment ID: O20040127001012 |
| Mailing Address | Practice Location Address |
|---|---|
| Biana Korjevsky Mico, FNP-BC 62 Brucewood St, West Roxbury, MA 02132-1304 Ph: () - | Biana Korjevsky Mico, FNP-BC 195 Worcester St, Suite 102, Wellesley, MA 02481-5568 Ph: (617) 219-1510 |
Ann N Kennefick, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 332 Washington St, Suite 380, Wellesley, MA 02481 Phone: 781-237-4194 | |
Ms. Jiamin Huang, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 230 Worcester St, Wellesley, MA 02481 Phone: 781-431-5400 | |
Jean D Horst, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 230 Worcester St, Wellesley, MA 02481 Phone: 781-431-5200 Fax: 781-431-5298 | |
Julie S Coffey, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 70 Hastings St Ste 200, Wellesley, MA 02481 Phone: 781-772-5500 Fax: 781-772-5600 | |
Linda Ann Raftery, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 230 Worcester St, Wellesley, MA 02481 Phone: 781-431-5200 Fax: 781-431-5298 | |
Susan Jo Roberts, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 230 Worcester St, Wellesley, MA 02481 Phone: 781-431-5200 Fax: 781-431-5298 | |
Debra A Bradford, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 230 Worcester St, Wellesley, MA 02481 Phone: 781-431-5200 Fax: 781-431-5298 |