| Ruth A Raczkowski, NP | |
|
1135 Morton St, Mattapan, MA 02126-2834 | |
| (617) 533-2400 | |
| (617) 533-2401 |
| Full Name | Ruth A Raczkowski |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 24 Years |
| Location | 1135 Morton St, Mattapan, 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 |
|---|---|---|---|
| 1770512956 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | CNP161020 (Maine) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Kennebec Valley Mental Health Center | 7113829383 | 59 |
| Entity Name | Kennebec Valley Mental Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679504864 PECOS PAC ID: 7113829383 Enrollment ID: O20040127000419 |
| Mailing Address | Practice Location Address |
|---|---|
| Ruth A Raczkowski, NP 67 Eustis Pkwy, Waterville, ME 04901-5173 Ph: (207) 873-2136 | Ruth A Raczkowski, NP 1135 Morton St, Mattapan, MA 02126-2834 Ph: (617) 533-2400 |
Olasumbo Fadiya, RN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7 Cragmere Ter, Apt. #1, Mattapan, MA 02126 Phone: 617-407-5875 | |
Mrs. Elizabeth A. Maffie, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1135 Morton St, Mattapan, MA 02126 Phone: 617-533-2400 Fax: 617-533-2478 | |
Ms. Laverne Lydia Dickson, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1575 Blue Hill Ave, Mattapan, MA 02126 Phone: 617-296-0061 | |
Mr. Richard Thomas Gunn, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1135 Morton St, Mattapan, MA 02126 Phone: 617-533-2400 | |
Sarah Elizabeth Mitchell, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1575 Blue Hill Ave, Mattapan, MA 02126 Phone: 617-296-0061 Fax: 617-296-5408 | |
Laura L. Stanley, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1135 Morton Street, Mattapan, MA 02126 Phone: 617-533-2400 Fax: 617-533-2401 |