| Ms Charlotte Marie Holleran, RN | |
|
611 Fellsway W, Medford, MA 02155-1849 | |
| (781) 498-8221 | |
| Not Available |
| Full Name | Ms Charlotte Marie Holleran |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 5 Years |
| Location | 611 Fellsway W, Medford, 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 |
|---|---|---|---|
| 1821683780 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163WC0200X | Registered Nurse - Critical Care Medicine | RN277786 (Massachusetts) | Secondary |
| 2086S0102X | Surgery - Surgical Critical Care | RN277786 (Massachusetts) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Bayada Home Health Care, Inc | Burlington, MA | Home health agency |
| Encompass Health Home Health | Andover, MA | Home health agency |
| Care Dimensions, Inc | Danvers, MA | Hospice |
| Northeast Hospital Corporation | Beverly, MA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Middleton Family Medicine Urgent Care Llc | 0042533218 | 71 |
| Entity Name | Middleton Family Medicine Urgent Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902215106 PECOS PAC ID: 0042533218 Enrollment ID: O20141218001562 |
| Entity Name | Brigham & Womens Physicians Organization Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033535497 PECOS PAC ID: 3870405988 Enrollment ID: O20150107001260 |
| Entity Name | New England House Calls Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659066686 PECOS PAC ID: 2567825623 Enrollment ID: O20230823001363 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Charlotte Marie Holleran, RN 611 Fellsway W, Medford, MA 02155-1849 Ph: (781) 498-8221 | Ms Charlotte Marie Holleran, RN 611 Fellsway W, Medford, MA 02155-1849 Ph: (781) 498-8221 |