| Mr Daniel Stakutis, | |
|
100 Rivers Edge Dr Unit 448, Medford, MA 02155-5477 | |
| (508) 380-2208 | |
| Not Available |
| Full Name | Mr Daniel Stakutis |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 1 Years |
| Location | 100 Rivers Edge Dr Unit 448, Medford, 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 |
|---|---|---|---|
| 1558156802 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 2312263 (Massachusetts) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Aspire Medical Group Pc | 9436525003 | 3 |
| Entity Name | Aspire Medical Group PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639802614 PECOS PAC ID: 9436525003 Enrollment ID: O20221024000116 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Daniel Stakutis, 100 Rivers Edge Dr Unit 448, Medford, MA 02155-5477 Ph: (508) 380-2208 | Mr Daniel Stakutis, 100 Rivers Edge Dr Unit 448, Medford, MA 02155-5477 Ph: (508) 380-2208 |
Theresa Bui, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 101 Main St Ste 201, Medford, MA 02155 Phone: 781-396-1288 |
Ellen Diana Klee, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 170 Governors Ave, Lawrence Memorial Hospital-diabetes Center, Medford, MA 02155 Phone: 781-306-6370 Fax: 781-306-6375 |
Mary E Cain, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 26 City Hall Mall, Medford, MA 02155 Phone: 781-306-5100 Fax: 781-306-5379 |
Diane Coste, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 101 Main St, Suite 110, Medford, MA 02155 Phone: 781-391-2705 Fax: 781-391-2709 |
Consuela Hartnett, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 26 City Hall Mall, Medford, MA 02155 Phone: 339-227-5085 |
Krystal Carlson, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10 Cabot Rd Ste 201, Medford, MA 02155 Phone: 800-915-3211 |
Jillian Marie Kelly, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 26 City Hall Mall, Medford, MA 02155 Phone: 781-306-5304 Fax: 781-306-5227 |