Chalice Santorelli, NP is a medicare enrolled "Nurse Practitioner - Adult Health" in Southampton, Massachusetts. She graduated from nursing school in 2007 and has 18 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Mass General Brigham Medical Group Western Massachusetts Inc and her current practice location is
6 Parc Pl, Southampton, Massachusetts. You can reach out to her office (for appointments etc.) via phone at
(413) 582-4740.
Chalice Santorelli is licensed to practice in Massachusetts (license number 267935) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1972773117.
Provider's Profile
| Full Name | Chalice Santorelli |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 18 Years |
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| Location | 6 Parc Pl, Southampton, Massachusetts |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Chalice Santorelli graduated from nursing school in 2007
NPI Data:
- NPI Number: 1972773117
- Provider Enumeration Date: 03/04/2008
- Last Update Date: 01/02/2013
Medicare PECOS Information:
- PECOS PAC ID: 0941387039
- Enrollment ID: I20080415000076
Medical Identifiers
Medical identifiers for Chalice Santorelli such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1972773117 | NPI | - | NPPES |
| 0720968 | Medicaid | MA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LA2200X | Nurse Practitioner - Adult Health | 267935 (Massachusetts) | Primary |
| 363LW0102X | Nurse Practitioner - Women's Health | 267935 (Massachusetts) | Secondary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Mass General Brigham Medical Group Western Massachusetts Inc | 2567359839 | 230 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Chalice Santorelli allows following entities to bill medicare on her behalf.
| Entity Name | Mass General Brigham Medical Group Western Massachusetts Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1295787919
PECOS PAC ID: 2567359839
Enrollment ID: O20040302000290 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Chalice Santorelli is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Chalice Santorelli, NP
30 Locust St, Po Box 911,
Northampton, MA 01060-2052
Ph: (413) 582-4740 | Chalice Santorelli, NP
6 Parc Pl,
Southampton, MA 01073-9277
Ph: (413) 582-4740 |
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