| Mountain View Family Practice, Pc | |
|
570 Baldwinville Rd Baldwinville MA 01436-1351 | |
| (978) 939-2133 | |
| (978) 939-8580 |
| Full Name | Mountain View Family Practice, Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 570 Baldwinville Rd, Baldwinville, Massachusetts |
| Authorized Official Name and Position | Gretchen L Kelley (PRESIDENT) |
| Authorized Official Contact | 9789392133 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mountain View Family Practice, Pc 570 Baldwinville Rd Baldwinville MA 01436-1351 Ph: (978) 939-2133 | Mountain View Family Practice, Pc 570 Baldwinville Rd Baldwinville MA 01436-1351 Ph: (978) 939-2133 |
| NPI Number | 1639409428 |
|---|---|
| Provider Enumeration Date | 12/30/2009 |
| Last Update Date | 02/16/2011 |
| Medicare PECOS PAC ID | 5092844340 |
|---|---|
| Medicare Enrollment ID | O20100525000209 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639409428 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Secondary |
| Provider Name | Kelly E Hoisington |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033191978 PECOS PAC ID: 7810984333 Enrollment ID: I20040427001453 |
| Provider Name | Gretchen L Kelley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376539346 PECOS PAC ID: 3870654502 Enrollment ID: I20081212000356 |
| Provider Name | Melissa Jean Labonte |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427294891 PECOS PAC ID: 4789737453 Enrollment ID: I20090728000322 |
| Provider Name | Kelly Marie Clow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942535653 PECOS PAC ID: 3274811062 Enrollment ID: I20161029000016 |
| Provider Name | Amanda Lynn Susa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881270320 PECOS PAC ID: 2668856121 Enrollment ID: I20220901000115 |
Heywood Medical Group-narragansett Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 570 Baldwinville Rd, Baldwinville, MA 01436 Phone: 978-939-2133 | |
Narragansett Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 570 Baldwinville Rd, Baldwinville, MA 01436 Phone: 978-939-2133 Fax: 978-939-8580 |