| Vlasta D Lavalle, NP | |
|
40 Holland St, Internal Medicine, Somerville, MA 02144-2705 | |
| (617) 629-6350 | |
| (617) 629-6067 |
| Full Name | Vlasta D Lavalle |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Adult Health |
| Location | 40 Holland St, Somerville, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316076334 | NPI | - | NPPES |
| 0711594 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 258436 (Massachusetts) | Secondary |
| 363LA2200X | Nurse Practitioner - Adult Health | 258436 (Massachusetts) | Primary |
| Entity Name | Massachusetts General Physicians Organization Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801874573 PECOS PAC ID: 2466365820 Enrollment ID: O20031111000434 |
| Entity Name | The General Hospital Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023049236 PECOS PAC ID: 6507803806 Enrollment ID: O20080313000351 |
| Mailing Address | Practice Location Address |
|---|---|
| Vlasta D Lavalle, NP 147 Milk St, Provider Enrollment, 9th Floor, Boston, MA 02109-4806 Ph: () - | Vlasta D Lavalle, NP 40 Holland St, Internal Medicine, Somerville, MA 02144-2705 Ph: (617) 629-6350 |
Carmen Phillips, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 260 Elm St, Somerville, MA 02144 Phone: 617-666-9577 | |
Rita Onyero Agholor, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5 Middlesex Ave, Somerville, MA 02145 Phone: 617-623-3211 | |
Elizabeth Ahlborn Nechev, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 40 Holland St, Somerville, MA 02144 Phone: 617-657-6445 | |
Maria Elizabeth Hedberg, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 40 Holland St, Somerville, MA 02144 Phone: 617-629-6000 | |
Ms. Brenda Ann Rogers, A.P.R.N. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 236 Highland Ave, Somerville, MA 02143 Phone: 617-298-4400 Fax: 617-298-2100 | |
Sheena Ann Fremault Macedo, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 40 Holland St, Somerville, MA 02144 Phone: 617-629-6032 | |
Mrs. Michelle Lynn Clarke, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 260 Elm St, Suite 105, Somerville, MA 02144 Phone: 617-666-9577 Fax: 617-666-3190 |