| Lisa Dondero Brengola, NP | |
|
425 Revere St, Revere, MA 02151-4543 | |
| (781) 286-1313 | |
| (781) 286-1098 |
| Full Name | Lisa Dondero Brengola |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 26 Years |
| Location | 425 Revere St, Revere, 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 |
|---|---|---|---|
| 1841289212 | NPI | - | NPPES |
| 0338290 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 215851 (Massachusetts) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Melrosewakefield Healthcare | Melrose, MA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Hallmark Health Medical Associates Inc | 4385638782 | 135 |
| Entity Name | Hallmark Health Medical Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770563900 PECOS PAC ID: 4385638782 Enrollment ID: O20040409000006 |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Dondero Brengola, NP 425 Revere St, Revere, MA 02151-4543 Ph: (781) 286-1313 | Lisa Dondero Brengola, NP 425 Revere St, Revere, MA 02151-4543 Ph: (781) 286-1313 |
Ms. Emily J Wilcox, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 300 Ocean Ave, Revere, MA 02151 Phone: 781-485-6000 | |
Emily Caruso Macintyre, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 300 Ocean Ave, Revere, MA 02151 Phone: 781-485-6024 | |
Frew Fikru, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 529 Washington Ave Apt 2, Revere, MA 02151 Phone: 617-230-0979 | |
Mrs. Marianne Connelly, F.N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 385 Broadway Ste 4, Revere, MA 02151 Phone: 781-485-1000 Fax: 781-286-5418 | |
Ms. Janet Lynn Mozes, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 300 Broadway, Revere, MA 02151 Phone: 781-485-6429 Fax: 781-286-5418 | |
Ms. Samantha Rose Jankowski, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 225 Endicott Ave Apt 1, Revere, MA 02151 Phone: 508-233-3875 | |
Ms. Michele Theresa Mchugh, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 300 Ocean Ave, Revere, MA 02151 Phone: 781-485-6000 Fax: 781-485-6405 |