| Theresa Shanahan, | |
| 1 Brookline Pl Ste 225, Brookline, MA 02445-7294 | |
| (857) 307-4400 | |
| (857) 307-4414 | 
| Full Name | Theresa Shanahan | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Primary Care | 
| Location | 1 Brookline Pl Ste 225, Brookline, Massachusetts | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1598598690 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LP2300X | Nurse Practitioner - Primary Care | RN2379864 (Massachusetts) | Primary | 
| Entity Name | Brigham & Womens Physicians Organization Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1033535497 PECOS PAC ID: 3870405988 Enrollment ID: O20150107001260 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Theresa Shanahan, 1 Brookline Pl Ste 225, Brookline, MA 02445-7294 Ph: (857) 307-4400 | Theresa Shanahan, 1 Brookline Pl Ste 225, Brookline, MA 02445-7294 Ph: (857) 307-4400 | 
| Mrs. Michelle Mckeehan, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1180 Beacon Street, Suite 1a B, Brookline, MA 02446 Phone: 617-278-1700 Fax: 617-734-9414 | |
| Sara Elizabeth Crawford, AGACNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 36 Addington Rd, Brookline, MA 02445 Phone: 617-827-6593 | |
| Courtney Elizabeth Catalano, MSN, RN, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1 Brookline Pl, Suite 327, Brookline, MA 02445 Phone: 617-735-8585 | |
| Mrs. Colleen Kochman, RN, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1180 Beacon St, Brookline, MA 02446 Phone: 617-232-2915 | |
| Matthew Ellam, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1330 Beacon St Ste 202, Brookline, MA 02446 Phone: 617-354-4450 | |
| Dr. Despina Denise Prassas, PH.D., BSN, MSN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 20 Chapel St Apt B803, Brookline, MA 02446 Phone: 401-346-4497 | |
| Jennifer Kelly Wilson, DNP, RN, CPNP-PC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1600 Beacon St Apt 312, Brookline, MA 02446 Phone: 203-339-2161 |