| Chalice Santorelli, NP | |
|
6 Parc Pl, Southampton, MA 01073-9277 | |
| (413) 582-4740 | |
| Not Available |
| Full Name | Chalice Santorelli |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 19 Years |
| Location | 6 Parc Pl, Southampton, 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 |
|---|---|---|---|
| 1972773117 | NPI | - | NPPES |
| 0720968 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2200X | Nurse Practitioner - Adult Health | 267935 (Massachusetts) | Primary |
| 363LW0102X | Nurse Practitioner - Women's Health | 267935 (Massachusetts) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Vna & Hospice Of Cooley Dickinson | Northampton, MA | Home health agency |
| Cooley Dickinson Hospital Inc,the | Northampton, MA | Hospital |
| Holyoke Medical Center | Holyoke, MA | Hospital |
| Baystate Medical Center | Springfield, MA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mass General Brigham Medical Group Western Massachusetts Inc | 2567359839 | 287 |
| Entity Name | Mass General Brigham Medical Group Western Massachusetts Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295787919 PECOS PAC ID: 2567359839 Enrollment ID: O20040302000290 |
| 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 |
Leah Carrasquillo, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6 Parc Pl, Southampton, MA 01073 Phone: 413-529-9282 Fax: 413-527-7526 |