| Maria Alisse Vardaro, PA-C | |
|
19 Norwood St, Everett, MA 02149-2709 | |
| (617) 394-7500 | |
| Not Available |
| Full Name | Maria Alisse Vardaro |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 19 Norwood St, Everett, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093361776 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA7151 (Massachusetts) | Primary |
| 207Q00000X | Family Medicine | PA7151 (Massachusetts) | Secondary |
| Entity Name | Massachusetts General Physicians Organization Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801874573 PECOS PAC ID: 2466365820 Enrollment ID: O20031111000434 |
| Entity Name | Umass Memorial Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760445373 PECOS PAC ID: 4284539891 Enrollment ID: O20040113000267 |
| Entity Name | Dana-farber Cancer Institute, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346433257 PECOS PAC ID: 9133038904 Enrollment ID: O20040223000142 |
| Entity Name | The General Hospital Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023049236 PECOS PAC ID: 6507803806 Enrollment ID: O20080313000351 |
| Entity Name | Brigham & Womens Physicians Organization Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033535497 PECOS PAC ID: 3870405988 Enrollment ID: O20150107001260 |
| Mailing Address | Practice Location Address |
|---|---|
| Maria Alisse Vardaro, PA-C 19 Norwood St, Everett, MA 02149-2709 Ph: (617) 394-7500 | Maria Alisse Vardaro, PA-C 19 Norwood St, Everett, MA 02149-2709 Ph: (617) 394-7500 |
Nicole Kostarellas, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 103 Garland St, Everett, MA 02149 Phone: 617-381-7150 |
Kristin Magdycz, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 103 Garland St, Everett, MA 02149 Phone: 617-389-6270 |
Percival Christopher Vandaam, MPAS, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 103 Garland Street, Whidden Hospital Emergency Department, Everett, MA 02149 Phone: 617-665-1000 |
Anthony Joseph Danna, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 103 Garland St Emergency Department, Everett, MA 02149 Phone: 617-381-5060 |
Eliana Destin, PA-C Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 72 Clarence St, Everett, MA 02149 Phone: 857-258-8252 |
Philip A. Clater, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 103 Garland St, Emergency Department, Everett, MA 02149 Phone: 617-665-1600 Fax: 617-665-1976 |
Merjem Rizvancevic, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 103 Garland St, Everett, MA 02149 Phone: 339-532-7545 |