| Mr Jean-merimee Kouagheu, | |
|
85 Patton Rd, Devens, MA 01434-4401 | |
| (978) 615-5200 | |
| Not Available |
| Full Name | Mr Jean-merimee Kouagheu |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 7 Years |
| Location | 85 Patton Rd, Devens, 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 |
|---|---|---|---|
| 1689208050 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163WP0808X | Registered Nurse - Psychiatric/mental Health | RN2263506 (Massachusetts) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| First Psychiatric Planners, Inc | 3476653387 | 12 |
| Devens Treatment And Recovery Center Llc | 8123319498 | 18 |
| Entity Name | Thrive Counseling Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215181300 PECOS PAC ID: 0749458420 Enrollment ID: O20110725000191 |
| Entity Name | First Psychiatric Planners, Inc |
|---|---|
| Entity Type | Part B Supplier - Hospital Department(s) |
| Entity Identifiers | NPI Number: 1093714412 PECOS PAC ID: 3476653387 Enrollment ID: O20150114000572 |
| Entity Name | Devens Treatment & Recovery Center Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811473267 PECOS PAC ID: 8123319498 Enrollment ID: O20181004001566 |
| Entity Name | Vantage Healthcare Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366903551 PECOS PAC ID: 8224361191 Enrollment ID: O20190607000976 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Jean-merimee Kouagheu, 43 Norwood Ave, Ayer, MA 01432 Ph: (978) 551-1607 | Mr Jean-merimee Kouagheu, 85 Patton Rd, Devens, MA 01434-4401 Ph: (978) 615-5200 |
Ms. Holly Miller, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 31c Elm Rd, Devens, MA 01434 Phone: 978-772-3708 | |
Mrs. Victoria Kisakye, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 85 Patton Rd, Devens, MA 01434 Phone: 978-615-5200 | |
Barbara Gregoire, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 38 Jackson Rd, Devens, MA 01434 Phone: 978-784-6035 |