| Olivia Angelichio, PA | |
|
81 Highland Ave, Salem, MA 01970-2768 | |
| (978) 741-1200 | |
| Not Available |
| Full Name | Olivia Angelichio |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 81 Highland Ave, Salem, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013608975 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA9380 (Massachusetts) | Primary |
| Entity Name | Mass General Brigham Medical Group Northern Massachusetts Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588606123 PECOS PAC ID: 3577467224 Enrollment ID: O20050429000668 |
| Mailing Address | Practice Location Address |
|---|---|
| Olivia Angelichio, PA 4 Stone Ln Apt 5314, Malden, MA 02148-1578 Ph: (978) 835-5575 | Olivia Angelichio, PA 81 Highland Ave, Salem, MA 01970-2768 Ph: (978) 741-1200 |
Madge Fleurimond Cemelus, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 47 Congress St, Salem, MA 01970 Phone: 978-744-8388 |
Mariah Herring, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 65 Washington St Apt 506, Salem, MA 01970 Phone: 603-259-6183 |
Christina Mary Badal, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 63 1/2 Jefferson Ave, Salem, MA 01970 Phone: 781-842-3961 |
Katherine Hope Soo, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 81 Highland Ave, Salem, MA 01970 Phone: 978-741-1200 |
Meghan Holtz, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 81 Highland Ave, Salem, MA 01970 Phone: 978-741-1200 |
Mrs. Kristen Marie Koch, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 81 Highland Ave, Salem, MA 01970 Phone: 978-354-4173 |
Michael Eugene Cothern, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 81 Highland Ave, Cardiac Catheterization Lab, Phippen 5, Salem, MA 01970 Phone: 978-354-4494 Fax: 978-740-4804 |