| Lillian Derosa, PMHNP-BC, BSN, RN | |
|
238 High St, Canton, MA 02021-3654 | |
| (617) 755-6020 | |
| Not Available |
| Full Name | Lillian Derosa |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 238 High St, Canton, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609384221 | NPI | - | NPPES |
| Entity Name | Steward Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629398219 PECOS PAC ID: 2860688728 Enrollment ID: O20101119000007 |
| Entity Name | Healthdrive Behavioral Health Services, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760909279 PECOS PAC ID: 8729345822 Enrollment ID: O20210910001065 |
| Mailing Address | Practice Location Address |
|---|---|
| Lillian Derosa, PMHNP-BC, BSN, RN 25 Owencroft Rd, Dorchester, MA 02124-4723 Ph: () - | Lillian Derosa, PMHNP-BC, BSN, RN 238 High St, Canton, MA 02021-3654 Ph: (617) 755-6020 |
Julliet Nassuuna, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1017 Turnpike St Ste 32a, Canton, MA 02021 Phone: 781-236-7343 | |
Jocelyne Destine Marcellus, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1017 Turnpike St Ste 32a, Canton, MA 02021 Phone: 781-236-7343 | |
Jessica Dias, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 45 Dan Rd, Canton, MA 02021 Phone: 781-867-2050 | |
Jeannie Simeus, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1017 Turnpike St Ste 32a, Canton, MA 02021 Phone: 781-236-7343 | |
John Leonard Goncalo, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 709 Washington St, Canton, MA 02021 Phone: 781-828-5351 | |
Michele Whitaker, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 275 Turnpike St Ste 206, Canton, MA 02021 Phone: 508-566-4032 | |
Ms. Charlene Charisse Hollins, FNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 715b Washington St, Canton, MA 02021 Phone: 978-222-0024 Fax: 617-582-2373 |