| Tracy Otubu, | |
|
322 Reservoir St, Needham, MA 02494-3169 | |
| (877) 920-6583 | |
| Not Available |
| Full Name | Tracy Otubu |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 1 Years |
| Location | 322 Reservoir St, Needham, 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 |
|---|---|---|---|
| 1194516773 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | RN2365786 (Massachusetts) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northeast Health Services Llc | 6901866706 | 470 |
| Supportive Behavioral Care Of Ma Llc | 8628346731 | 103 |
| Entity Name | Northeast Health Services LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225067481 PECOS PAC ID: 6901866706 Enrollment ID: O20041015000643 |
| 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 |
| Entity Name | Thrivepath Psychiatry, PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760354674 PECOS PAC ID: 3971094202 Enrollment ID: O20251114002152 |
| Mailing Address | Practice Location Address |
|---|---|
| Tracy Otubu, 867 Boylston St Fl 5, Boston, MA 02116-2774 Ph: Not Available | Tracy Otubu, 322 Reservoir St, Needham, MA 02494-3169 Ph: (877) 920-6583 |
Gretchen O'brien, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 148 Chestnut St, Needham, MA 02492 Phone: 781-453-7750 Fax: 781-453-7770 |
Mrs. Carol Jeanne Murphy, ANP RNMSCS Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 148 Chestnut St, Beth Israel Deaconess Hospital Needham, Needham, MA 02492 Phone: 781-453-3028 Fax: 781-453-5782 |
Marie Lord, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 60 Kendrick St Ste 204, Needham, MA 02494 Phone: 800-370-3651 Fax: 877-515-7147 |
Christine A Mccarthy, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 175 Highland Ave, Needham, MA 02494 Phone: 781-455-6661 |
Mrs. Judith Lillian Hershey, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 100 2nd Ave, Needham, MA 02494 Phone: 781-453-5414 |
Payal Sharma, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 15 Oak St Ste 3, Needham, MA 02492 Phone: 888-671-5902 Fax: 339-686-3137 |
Jill M Day, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 15 Oak St, Needham, MA 02492 Phone: 339-793-8998 |