| Cottage Psychiatry Llc | |
|
8 Cedar Park Rd Sharon MA 02067-2548 | |
| (781) 300-8916 | |
| Not Available |
| Full Name | Cottage Psychiatry Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 8 Cedar Park Rd, Sharon, Massachusetts |
| Authorized Official Name and Position | Jean Capone (NURSE PRACTITIONER) |
| Authorized Official Contact | 7813008916 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cottage Psychiatry Llc 8 Cedar Park Rd Sharon MA 02067-2548 Ph: (781) 300-8916 | Cottage Psychiatry Llc 8 Cedar Park Rd Sharon MA 02067-2548 Ph: (781) 300-8916 |
| NPI Number | 1679249882 |
|---|---|
| Provider Enumeration Date | 08/18/2021 |
| Last Update Date | 08/18/2021 |
| Medicare PECOS PAC ID | 3476959537 |
|---|---|
| Medicare Enrollment ID | O20210915001225 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679249882 | NPI | - | NPPES |
| 1225497076 | Medicaid | RI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Jean Capone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225497076 PECOS PAC ID: 9335437185 Enrollment ID: I20210915001605 |
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