| Stefania M Peralta, RN | |
|
19 Tacoma St, Worcester, MA 01605-3516 | |
| (508) 852-1805 | |
| Not Available |
| Full Name | Stefania M Peralta |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 4 Years |
| Location | 19 Tacoma St, Worcester, 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 |
|---|---|---|---|
| 1003371634 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | RN2328799 (Massachusetts) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Reliant Medical Group Inc | 5597755322 | 573 |
| Entity Name | Reliant Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720017528 PECOS PAC ID: 5597755322 Enrollment ID: O20040708000650 |
| Entity Name | Edward M Kennedy Community Health Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609842152 PECOS PAC ID: 3476512740 Enrollment ID: O20041004000840 |
| Mailing Address | Practice Location Address |
|---|---|
| Stefania M Peralta, RN 34 Shrewsbury Green Dr Unit J, Shrewsbury, MA 01545-3636 Ph: (617) 763-8292 | Stefania M Peralta, RN 19 Tacoma St, Worcester, MA 01605-3516 Ph: (508) 852-1805 |
Lucy W Wilson, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 781 Salisbury St, Worcester, MA 01609 Phone: 508-753-8402 Fax: 508-363-0885 | |
Anne Walton, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 19 Tacoma St, Worcester, MA 01605 Phone: 508-852-1805 Fax: 508-852-3248 | |
Miss Darlene Sejour, APRN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 9 Cherry Blossom Cir, Worcester, MA 01605 Phone: 774-239-7719 | |
Dr. Kenney Kairu, DNP,MBA Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 101 Pleasant St Ste 209, Worcester, MA 01609 Phone: 774-420-8144 | |
Bethany Irish, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 19 Tacoma St, Worcester, MA 01605 Phone: 508-852-1805 | |
Samantha Williams, FNP-BC Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 55 Lake Ave N, Worcester, MA 01655 Phone: 508-421-1400 Fax: 508-421-1490 |