| Vitor Cardoso, | |
|
47 Florence Ave, Revere, MA 02151-3516 | |
| (617) 416-7087 | |
| Not Available |
| Full Name | Vitor Cardoso |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 12 Years |
| Location | 47 Florence Ave, Revere, Massachusetts |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255723664 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | RN2287622 (Massachusetts) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Massachusetts General Hospital | Boston, MA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Elm Tree Clinic Llc | 7517203300 | 11 |
| Entity Name | Lynn Community Health, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013997691 PECOS PAC ID: 0042217507 Enrollment ID: O20061026000348 |
| Entity Name | Elm Tree Clinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538609904 PECOS PAC ID: 7517203300 Enrollment ID: O20190116000758 |
| Mailing Address | Practice Location Address |
|---|---|
| Vitor Cardoso, 47 Florence Ave, Revere, MA 02151-3516 Ph: (617) 416-7087 | Vitor Cardoso, 47 Florence Ave, Revere, MA 02151-3516 Ph: (617) 416-7087 |
Ms. Emily J Wilcox, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 300 Ocean Ave, Revere, MA 02151 Phone: 781-485-6000 | |
Emily Caruso Macintyre, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 300 Ocean Ave, Revere, MA 02151 Phone: 781-485-6024 | |
Frew Fikru, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 529 Washington Ave Apt 2, Revere, MA 02151 Phone: 617-230-0979 | |
Mrs. Marianne Connelly, F.N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 385 Broadway Ste 4, Revere, MA 02151 Phone: 781-485-1000 Fax: 781-286-5418 | |
Ms. Janet Lynn Mozes, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 300 Broadway, Revere, MA 02151 Phone: 781-485-6429 Fax: 781-286-5418 | |
Ms. Samantha Rose Jankowski, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 225 Endicott Ave Apt 1, Revere, MA 02151 Phone: 508-233-3875 | |
Ms. Michele Theresa Mchugh, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 300 Ocean Ave, Revere, MA 02151 Phone: 781-485-6000 Fax: 781-485-6405 |