| Robert Terrell Jr, | |
|
235 Wellesley St, Weston, MA 02493-1572 | |
| (781) 768-7000 | |
| (617) 812-7102 |
| Full Name | Robert Terrell Jr |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 235 Wellesley St, Weston, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265198113 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 2284570 (Massachusetts) | Primary |
| 163WE0003X | Registered Nurse - Emergency | 2284570 (Massachusetts) | Secondary |
| Entity Name | High Point Treatment Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518996354 PECOS PAC ID: 3779578174 Enrollment ID: O20040415001222 |
| Entity Name | Mamdouh Riad Md Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639279342 PECOS PAC ID: 5193806941 Enrollment ID: O20080117000449 |
| Entity Name | Northeast Behavioral Health Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275920001 PECOS PAC ID: 7517287444 Enrollment ID: O20160607001920 |
| 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 |
|---|---|
| Robert Terrell Jr, 235 Wellesley St, Weston, MA 02493-1572 Ph: (781) 768-7000 | Robert Terrell Jr, 235 Wellesley St, Weston, MA 02493-1572 Ph: (781) 768-7000 |
Mrs. Dianna Marie Jones, DNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 235 Wellesley St, Box 11, Weston, MA 02493 Phone: 781-768-7291 Fax: 781-768-7288 | |
Mrs. Joyce Katherine Mancini, F.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 29 Deer Path Ln, Weston, MA 02493 Phone: 781-642-1912 Fax: 781-642-0381 | |
Ms. Karen Mccarte, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 486 Boston Post Rd, Weston, MA 02493 Phone: 781-899-4456 | |
Kevin M Fairley, APN-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 45 Georgian Rd, Weston, MA 02493 Phone: 781-642-8618 Fax: 781-398-8341 | |
Cluzie Pierre, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: Regis College, 235 Wellesley St, Weston, MA 02493 Phone: 781-768-7000 | |
Mary Patrice Forster, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 29 Deer Path Ln, Weston, MA 02493 Phone: 617-694-9383 | |
Jennifer Ebbertt, RN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 235 Wellesley St, Weston, MA 02493 Phone: 781-768-7000 |