| Carly Macken, | |
|
134 Burkhall St Apt 105, Weymouth, MA 02190-3571 | |
| (914) 500-5212 | |
| Not Available |
| Full Name | Carly Macken |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 134 Burkhall St Apt 105, Weymouth, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790300291 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | RN2330353 (Massachusetts) | Primary |
| Entity Name | Brattleboro Retreat |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730185232 PECOS PAC ID: 7012828908 Enrollment ID: O20041123000627 |
| Mailing Address | Practice Location Address |
|---|---|
| Carly Macken, 23 Washington Pl E, White Plains, NY 10603-1716 Ph: (914) 500-5212 | Carly Macken, 134 Burkhall St Apt 105, Weymouth, MA 02190-3571 Ph: (914) 500-5212 |
Donna J Hudson-bryant, FNP-BC, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 55 Fogg Rd, Weymouth, MA 02190 Phone: 781-624-8000 | |
Rachel Jeanne Burbine, RN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1085 Main St, Weymouth, MA 02190 Phone: 781-331-2922 | |
Lynne C Smith, ANP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 90 Libbey Industrial Pkwy, Weymouth, MA 02189 Phone: 781-682-5900 Fax: 781-331-1763 | |
Robyn Kinsherf, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 55 Fogg Rd, Weymouth, MA 02190 Phone: 781-624-8000 | |
Alicia Van Cott, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 90 Libbey Pkwy, Suite 200, Weymouth, MA 02189 Phone: 781-335-9700 Fax: 781-335-9709 | |
Ms. Leslie Anne Frodema, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 571 Main St Fl 1, Weymouth, MA 02190 Phone: 617-773-9198 Fax: 617-769-9952 | |
Mrs. Amy Beth Ditzel, RN, MS, NNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 55 Fogg Rd, Weymouth, MA 02190 Phone: 781-340-8373 Fax: 781-340-3447 |