| Commonwealth Primary Care Inc. | |
|
365 Main St Winthrop MA 02152-1637 | |
| (617) 846-5352 | |
| (617) 846-1062 |
| Full Name | Commonwealth Primary Care Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 365 Main St, Winthrop, Massachusetts |
| Authorized Official Name and Position | Jeanne Holgersen (NURSE PRACTITIONER) |
| Authorized Official Contact | 6178465352 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Commonwealth Primary Care Inc. 365 Main St Winthrop MA 02152-1637 Ph: (617) 846-5352 | Commonwealth Primary Care Inc. 365 Main St Winthrop MA 02152-1637 Ph: (617) 846-5352 |
| NPI Number | 1417723263 |
|---|---|
| Provider Enumeration Date | 12/01/2023 |
| Last Update Date | 12/01/2023 |
| Medicare PECOS PAC ID | 5991141970 |
|---|---|
| Medicare Enrollment ID | O20240313000543 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417723263 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Jeanne M Holgersen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326658790 PECOS PAC ID: 9931469160 Enrollment ID: I20201119002648 |
Desai Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 249 Washington Ave, Winthrop, MA 02152 Phone: 617-846-1318 Fax: 617-846-9346 | |
Pc Shah Md Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 365 Main St, Winthrop, MA 02152 Phone: 617-846-5352 Fax: 617-846-1062 |