| Careathome Medical Practice (ma), P.c. | |
|
75 Arlington St Ste 500 Boston MA 02116-3986 | |
| (888) 553-2823 | |
| (888) 553-2823 |
| Full Name | Careathome Medical Practice (ma), P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 75 Arlington St Ste 500, Boston, Massachusetts |
| Authorized Official Name and Position | Monica White (DIRECTOR OF REVENUE CYCLE) |
| Authorized Official Contact | 9175515156 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Careathome Medical Practice (ma), P.c. 287 Park Ave S Fl 3 New York NY 10010-4573 Ph: (888) 553-2823 | Careathome Medical Practice (ma), P.c. 75 Arlington St Ste 500 Boston MA 02116-3986 Ph: (888) 553-2823 |
| NPI Number | 1477123321 |
|---|---|
| Provider Enumeration Date | 07/01/2021 |
| Last Update Date | 04/18/2023 |
| Medicare PECOS PAC ID | 4385049162 |
|---|---|
| Medicare Enrollment ID | O20210817001115 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477123321 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Karin R Broden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134141427 PECOS PAC ID: 8527063890 Enrollment ID: I20060919000455 |
| Provider Name | Bipinchandra Mistry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083670541 PECOS PAC ID: 9739134875 Enrollment ID: I20070503000446 |
| Provider Name | Sarah I Hillios |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154637882 PECOS PAC ID: 8022203397 Enrollment ID: I20101111001362 |
| Provider Name | Carissa M Kelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821307646 PECOS PAC ID: 2264627132 Enrollment ID: I20101117001009 |
| Provider Name | Katelyn Carney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326303629 PECOS PAC ID: 3375791791 Enrollment ID: I20120910000494 |
| Provider Name | Sara Ardila |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871091728 PECOS PAC ID: 5193052959 Enrollment ID: I20190816001027 |
| Provider Name | Laura Ardila |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699273540 PECOS PAC ID: 7517295868 Enrollment ID: I20190823001489 |
| Provider Name | Erin Desrocher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982277158 PECOS PAC ID: 9436556669 Enrollment ID: I20210930000834 |
| Provider Name | Meghan Welch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346586237 PECOS PAC ID: 9830342112 Enrollment ID: I20220211001384 |
| Provider Name | Maria Dizhgalvis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184144792 PECOS PAC ID: 4183974884 Enrollment ID: I20220314001496 |
| Provider Name | Gemma C Kaunert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962697482 PECOS PAC ID: 2163725573 Enrollment ID: I20220406000446 |
| Provider Name | Janine Foster-boswell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083937189 PECOS PAC ID: 6204004278 Enrollment ID: I20220607001143 |
| Provider Name | Katherine Bhadra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588907034 PECOS PAC ID: 1850538893 Enrollment ID: I20220614002230 |
| Provider Name | Erika Ramirez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215433354 PECOS PAC ID: 7416207428 Enrollment ID: I20220725000990 |
| Provider Name | Helen Portalatin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902042518 PECOS PAC ID: 4688851165 Enrollment ID: I20221214000039 |
| Provider Name | Marcia Luis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750809612 PECOS PAC ID: 9739455049 Enrollment ID: I20231127002935 |
| Provider Name | Tiffany Liles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922480599 PECOS PAC ID: 7911212493 Enrollment ID: I20231206000635 |
| Provider Name | Lauren Guse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770990210 PECOS PAC ID: 8325366990 Enrollment ID: I20231207002402 |
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