| Mrs Egbe Benedicta Adekunle-moses I, | |
|
229 Hebron St, Hyde Park, MA 02136-6201 | |
| (857) 544-9755 | |
| Not Available |
| Full Name | Mrs Egbe Benedicta Adekunle-moses I |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 3 Years |
| Location | 229 Hebron St, Hyde Park, 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 |
|---|---|---|---|
| 1851759302 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | LN90968 (Massachusetts) | Primary |
| 374U00000X | Home Health Aide | (Massachusetts) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northeast Health Services Llc | 6901866706 | 470 |
| Entity Name | Northeast Health Services LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225067481 PECOS PAC ID: 6901866706 Enrollment ID: O20041015000643 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Egbe Benedicta Adekunle-moses I, 229 Hebron St, Hyde Park, MA 02136-6201 Ph: (857) 544-9755 | Mrs Egbe Benedicta Adekunle-moses I, 229 Hebron St, Hyde Park, MA 02136-6201 Ph: (857) 544-9755 |
Abieyuwa Omoroghomwan, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 7 Parker St, Hyde Park, MA 02136 Phone: 857-251-2391 |
Mrs. Ndidi Ndukwe-uga, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 102 Summer St, Hyde Park, MA 02136 Phone: 617-233-4202 |
Christiana Stanley, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 42 Alwin St, Hyde Park, MA 02136 Phone: 617-401-1795 |
Kennisha Beasley, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 113 Central Ave, Hyde Park, MA 02136 Phone: 617-407-8682 |
Mrs. Mercy Ehikhamhen, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 5 Mansen Ct, Hyde Park, MA 02136 Phone: 617-364-2185 |
Ms. Kathleen Mary Mciver, L.P.N. Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 19 Neponset Ave, Hyde Park, MA 02136 Phone: 617-333-9825 |
Marie Ninive Souffrant, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 491 Metropolitan Ave, Hyde Park, MA 02136 Phone: 617-365-4871 |