| Stacey Bryant, NP | |
|
170 Governors Ave, Hallmark Health System, Inc., Medford, MA 02155-1643 | |
| (781) 306-6000 | |
| (781) 306-6085 |
| Full Name | Stacey Bryant |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 26 Years |
| Location | 170 Governors Ave, 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 |
|---|---|---|---|
| 1376521369 | NPI | - | NPPES |
| 1200992 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LG0600X | Nurse Practitioner - Gerontology | 215935 (Massachusetts) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| 360 Healthcare Llc | 5597131532 | 23 |
| Entity Name | Melrosewakefield Healthcare, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841290467 PECOS PAC ID: 8224935838 Enrollment ID: O20040504000734 |
| Entity Name | 360 Healthcare Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841919297 PECOS PAC ID: 5597131532 Enrollment ID: O20221017002563 |
| Mailing Address | Practice Location Address |
|---|---|
| Stacey Bryant, NP 170 Governors Ave, Hallmark Health System, Inc., Medford, MA 02155-1643 Ph: (781) 306-6000 | Stacey Bryant, NP 170 Governors Ave, Hallmark Health System, Inc., Medford, MA 02155-1643 Ph: (781) 306-6000 |
Theresa Bui, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 101 Main St Ste 201, Medford, MA 02155 Phone: 781-396-1288 | |
Ellen Diana Klee, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 170 Governors Ave, Lawrence Memorial Hospital-diabetes Center, Medford, MA 02155 Phone: 781-306-6370 Fax: 781-306-6375 | |
Mary E Cain, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 26 City Hall Mall, Medford, MA 02155 Phone: 781-306-5100 Fax: 781-306-5379 | |
Diane Coste, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 101 Main St, Suite 110, Medford, MA 02155 Phone: 781-391-2705 Fax: 781-391-2709 | |
Consuela Hartnett, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 26 City Hall Mall, Medford, MA 02155 Phone: 339-227-5085 | |
Jillian Marie Kelly, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 26 City Hall Mall, Medford, MA 02155 Phone: 781-306-5304 Fax: 781-306-5227 | |
Sara Grant, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 137 Main St, Medford, MA 02155 Phone: 781-395-4761 Fax: 781-395-5081 |