| Michelle Hoffman, | |
|
63 Main St, Brockton, MA 02301-4042 | |
| (508) 559-6699 | |
| (508) 559-5073 |
| Full Name | Michelle Hoffman |
|---|---|
| Gender | Male |
| Speciality | Advanced Practice Midwife |
| Location | 63 Main St, Brockton, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043764509 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367A00000X | Advanced Practice Midwife | RN252513 (Massachusetts) | Primary |
| Entity Name | Brockton Neighborhood Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225085319 PECOS PAC ID: 3870491699 Enrollment ID: O20031230000558 |
| Mailing Address | Practice Location Address |
|---|---|
| Michelle Hoffman, 63 Main St, Brockton, MA 02301-4042 Ph: (508) 559-6699 | Michelle Hoffman, 63 Main St, Brockton, MA 02301-4042 Ph: (508) 559-6699 |
Letitia L Sullivan, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 110 Liberty St, Brockton, MA 02301 Phone: 508-894-0400 Fax: 508-565-0157 | |
Vida Mia Ruiz, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 63 Main St, 3rd Floor, Brockton, MA 02301 Phone: 508-559-6699 | |
Masimbiti Rabecca Kunje, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 680 Centre St, Brockton, MA 02302 Phone: 508-941-7000 | |
Dianne H Quadros, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 110 Liberty St, Brockton, MA 02301 Phone: 508-894-0400 Fax: 508-894-0332 | |
Lisa Kelley, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 63 Main St, Brockton, MA 02301 Phone: 508-559-6699 | |
Ms. Lesli Ellen Warren, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 63 Main St, Brockton, MA 02301 Phone: 508-559-6699 Fax: 508-559-5073 |