| Charlene A Sama, | |
|
18 Saint Casimir Ave, Brockton, MA 02302 | |
| (774) 360-1109 | |
| Not Available |
| Full Name | Charlene A Sama |
|---|---|
| Gender | Female |
| Speciality | Clinical Nurse Specialist - Psychiatric/mental Health |
| Location | 18 Saint Casimir Ave, Brockton, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720853849 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 364SP0808X | Clinical Nurse Specialist - Psychiatric/mental Health | RN2271581 (Massachusetts) | Primary |
| Entity Name | Supportive Behavioral Care Of Ma Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780115519 PECOS PAC ID: 8628346731 Enrollment ID: O20170614000877 |
| Mailing Address | Practice Location Address |
|---|---|
| Charlene A Sama, 18 Saint Casimir Ave, Brockton, MA 02302 Ph: (774) 360-1109 | Charlene A Sama, 18 Saint Casimir Ave, Brockton, MA 02302 Ph: (774) 360-1109 |
Dr. Karen Hetzel, PHD, APRN, BC Clinical Nurse Specialist Medicare: Medicare Enrolled Practice Location: 1342 Belmont St, Suite 101, Brockton, MA 02301 Phone: 508-583-1600 | |
Maureen Dumas-lipka, APRN Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 110 Liberty St, Brockton, MA 00301 Phone: 508-894-0400 Fax: 508-894-0342 | |
Monique Mitchell, PMHCNS Clinical Nurse Specialist Medicare: Accepting Medicare Assignments Practice Location: 22 Christy Dr, Brockton, MA 02301 Phone: 508-580-4611 | |
Mrs. Norah P Connolly, FNP-C Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 680 Centre Street, Signature Healthcare Brockton Hospital, Brockton, MA 02302 Phone: 508-941-7355 Fax: 508-941-6206 | |
Ms. Denise Lucille Jezewski, RN ACNS Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 45 Pearl St, Brockton, MA 02301 Phone: 508-586-4688 Fax: 508-584-3279 | |
Joan Stack Kovach, APRN, BC Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: Mclean Hospital Southeast Location, 940 Belmont Street, Brockton, MA 02301 Phone: 508-894-8316 Fax: 508-894-8334 | |
Linda M Meehan, CNS Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 529 Pearl Street, Brockton, MA 02301 Phone: 508-580-2211 |