| Kristin L Mannke, | |
|
349 Broadway, Somerville, MA 02145-2407 | |
| (617) 702-8280 | |
| (617) 245-6755 |
| Full Name | Kristin L Mannke |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 13 Years |
| Location | 349 Broadway, Somerville, 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 |
|---|---|---|---|
| 1376971838 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | RN262875 (Massachusetts) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Winchester Hospital | Winchester, MA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mystic Valley Dermatology Associates Pc | 8022083344 | 11 |
| Entity Name | Mystic Valley Dermatology Associates Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548213606 PECOS PAC ID: 8022083344 Enrollment ID: O20040831000531 |
| Mailing Address | Practice Location Address |
|---|---|
| Kristin L Mannke, 526 Main St Ste 302, Acton, MA 01720-3301 Ph: (978) 371-7010 | Kristin L Mannke, 349 Broadway, Somerville, MA 02145-2407 Ph: (617) 702-8280 |
Carmen Phillips, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 260 Elm St, Somerville, MA 02144 Phone: 617-666-9577 | |
Rita Onyero Agholor, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5 Middlesex Ave, Somerville, MA 02145 Phone: 617-623-3211 | |
Elizabeth Ahlborn Nechev, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 40 Holland St, Somerville, MA 02144 Phone: 617-657-6445 | |
Maria Elizabeth Hedberg, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 40 Holland St, Somerville, MA 02144 Phone: 617-629-6000 | |
Ms. Brenda Ann Rogers, A.P.R.N. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 236 Highland Ave, Somerville, MA 02143 Phone: 617-298-4400 Fax: 617-298-2100 | |
Sheena Ann Fremault Macedo, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 40 Holland St, Somerville, MA 02144 Phone: 617-629-6032 | |
Mrs. Michelle Lynn Clarke, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 260 Elm St, Suite 105, Somerville, MA 02144 Phone: 617-666-9577 Fax: 617-666-3190 |