| Kristen M Derosa, NNP-BC, ACNPC-AG | |
|
416 Belmont St, Worcester, MA 01604-1086 | |
| (508) 756-6609 | |
| Not Available |
| Full Name | Kristen M Derosa |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 5 Years |
| Location | 416 Belmont St, Worcester, 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 |
|---|---|---|---|
| 1003469230 | NPI | - | NPPES |
| 104252227 | Other | NCC CERTIFICATION ID | |
| 104252227 | Other | NATIONAL CERTIFICATION CORPORATION: CERTIFICATION ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LN0000X | Nurse Practitioner - Neonatal | 45177 (Kansas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Cooley Dickinson Hospital Inc,the | Northampton, MA | Hospital |
| Baystate Medical Center | Springfield, MA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cd Practice Associates Inc | 2567359839 | 304 |
| Entity Name | Cd Practice Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295787919 PECOS PAC ID: 2567359839 Enrollment ID: O20040302000290 |
| Entity Name | Worcester Internal Medicine, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063565422 PECOS PAC ID: 8022089440 Enrollment ID: O20040802000222 |
| Entity Name | Integral Health Partners Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679183545 PECOS PAC ID: 2264842087 Enrollment ID: O20201106001479 |
| Mailing Address | Practice Location Address |
|---|---|
| Kristen M Derosa, NNP-BC, ACNPC-AG 10 Damon Rd, Holden, MA 01520-2622 Ph: (202) 491-1043 | Kristen M Derosa, NNP-BC, ACNPC-AG 416 Belmont St, Worcester, MA 01604-1086 Ph: (508) 756-6609 |
Ms. Eileen A. Duhamel, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 55 Lake Ave N, Department Of Radiology, Worcester, MA 01655 Phone: 508-334-2710 | |
Erin Marie Bednarek, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 33 Kendall St, Worcester, MA 01605 Phone: 508-334-6255 Fax: 508-334-6063 | |
Natalia Alexandrovna Kottler, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 26 Queen Street, Worcester, MA 01610 Phone: 508-860-7800 | |
Dr. Laura Marie Knight, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 55 Lake Ave N, Worcester, MA 01655 Phone: 774-442-2761 | |
Sandra Bellini, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 119 Belmont St, Worcester, MA 01605 Phone: 508-334-6470 | |
Walter J Zawacki, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 119 Belmont St, Worcester, MA 01605 Phone: 508-334-8934 Fax: 508-334-5248 |