| Itoko Kikuchi, PMHNP-BC | |
|
415 Neponset Ave, Fl 3, Dorchester, MA 02122 | |
| (857) 217-3700 | |
| Not Available |
| Full Name | Itoko Kikuchi |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 9 Years |
| Location | 415 Neponset Ave, Dorchester, 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 |
|---|---|---|---|
| 1235374414 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | RN2292722 (Massachusetts) | Primary |
| 251S00000X | Community/behavioral Health | (NU) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sb Transitional Sub Llc | 7911315379 | 70 |
| Entity Name | SB Transitional Sub LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962091173 PECOS PAC ID: 7911315379 Enrollment ID: O20210423000601 |
| Mailing Address | Practice Location Address |
|---|---|
| Itoko Kikuchi, PMHNP-BC 415 Neponset Ave, Fl 3, Dorchester, MA 02122 Ph: (857) 217-3700 | Itoko Kikuchi, PMHNP-BC 415 Neponset Ave, Fl 3, Dorchester, MA 02122 Ph: (857) 217-3700 |
Karla I Noonan, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 632 Blue Hill Ave, Dorchester, MA 02121 Phone: 617-825-3400 |
Jocelyn Loftus, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 398 Neponset Ave, Dorchester, MA 02122 Phone: 617-282-3200 Fax: 617-282-7928 |
Allison Foley, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 398 Neponset Ave, Dorchester, MA 02122 Phone: 617-282-3200 Fax: 617-282-8201 |
Delia Rissmiller, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 398 Neponset Ave, Dorchester, MA 02122 Phone: 617-282-3200 |
Ms. Denise Marie Croken, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 637 Washington St, Dorchester, MA 02124 Phone: 617-825-9660 |
Kathleen Black Tenerowicz, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1353 Dorchester Ave, Dorchester, MA 02122 Phone: 617-288-3230 Fax: 617-825-4972 |
Jane F Tuitt, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 637 Washington St, Dorchester, MA 02124 Phone: 617-822-8211 Fax: 617-288-7898 |