| Michael Geoghegan, PMHNP-BC | |
|
200 May St, South Attleboro, MA 02703 | |
| (508) 761-8500 | |
| Not Available |
| Full Name | Michael Geoghegan |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 9 Years |
| Location | 200 May St, South Attleboro, Massachusetts |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699290924 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | RN2318977 (Massachusetts) | Primary |
| 163W00000X | Registered Nurse | 217504 (Tennessee) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Providence Behavioral Health Associates Inc | 3274798236 | 19 |
| Entity Name | Providence Behavioral Health Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023142700 PECOS PAC ID: 3274798236 Enrollment ID: O20120626000461 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Geoghegan, PMHNP-BC 200 May St, Attleboro, MA 02703-5520 Ph: (508) 838-2250 | Michael Geoghegan, PMHNP-BC 200 May St, South Attleboro, MA 02703 Ph: (508) 761-8500 |
Aissatou Thomas, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 562 Washington St, South Attleboro, MA 02703 Phone: 508-761-5650 |
Adetutu Owolabi, CNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 200 May St, South Attleboro, MA 02703 Phone: 508-761-8500 |
Becky Gallimore, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 562 Washington St, South Attleboro, MA 02703 Phone: 508-761-5650 Fax: 508-761-9870 |