| Christiana Chioma Egwim, | |
|
1017 Turnpike St Ste 36b, Canton, MA 02021-2828 | |
| (617) 943-5606 | |
| Not Available |
| Full Name | Christiana Chioma Egwim |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 6 Years |
| Location | 1017 Turnpike St Ste 36b, Canton, Massachusetts |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245535004 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP2300X | Nurse Practitioner - Primary Care | RN284402 (Massachusetts) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Supportive Behavioral Care Of Ma Llc | 8628346731 | 88 |
| Entity Name | Supportive Behavioral Care Of Ma Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780115519 PECOS PAC ID: 8628346731 Enrollment ID: O20170614000877 |
| Mailing Address | Practice Location Address |
|---|---|
| Christiana Chioma Egwim, 1017 Turnpike St Ste 36b, Canton, MA 02021-2828 Ph: (617) 943-5606 | Christiana Chioma Egwim, 1017 Turnpike St Ste 36b, Canton, MA 02021-2828 Ph: (617) 943-5606 |
Jocelyne Destine Marcellus, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1017 Turnpike St Ste 32a, Canton, MA 02021 Phone: 781-236-7343 | |
Jessica Dias, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 45 Dan Rd, Canton, MA 02021 Phone: 781-867-2050 | |
Jeannie Simeus, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1017 Turnpike St Ste 32a, Canton, MA 02021 Phone: 781-236-7343 | |
John Leonard Goncalo, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 709 Washington St, Canton, MA 02021 Phone: 781-828-5351 | |
Michele Whitaker, NP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 275 Turnpike St Ste 206, Canton, MA 02021 Phone: 508-566-4032 | |
Ms. Charlene Charisse Hollins, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 715b Washington St, Canton, MA 02021 Phone: 978-222-0024 Fax: 617-582-2373 | |
Hannah Krafton, NP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 45 Dan Rd, Canton, MA 02021 Phone: 781-876-2040 |