| North Brookfield Primary Care | |
|
163 N Main St Ste B North Brookfield MA 01535-1400 | |
| (508) 380-6366 | |
| Not Available |
| Full Name | North Brookfield Primary Care |
|---|---|
| Speciality | Clinic/Center |
| Location | 163 N Main St Ste B, North Brookfield, Massachusetts |
| Authorized Official Name and Position | Laura T. Black (OWNER) |
| Authorized Official Contact | 5083806366 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| North Brookfield Primary Care 163 N Main St Ste B North Brookfield MA 01535-1400 Ph: (508) 380-6366 | North Brookfield Primary Care 163 N Main St Ste B North Brookfield MA 01535-1400 Ph: (508) 380-6366 |
| NPI Number | 1356132955 |
|---|---|
| Provider Enumeration Date | 05/14/2025 |
| Last Update Date | 05/14/2025 |
| Certification Date | 05/14/2025 |
| Medicare PECOS PAC ID | 8921515016 |
|---|---|
| Medicare Enrollment ID | O20250724001780 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356132955 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | () | Primary |
| Provider Name | Laura T Black |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295068161 PECOS PAC ID: 7012134471 Enrollment ID: I20140807001595 |
| Provider Name | Jennifer Para |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770962094 PECOS PAC ID: 5294031464 Enrollment ID: I20200707003106 |
| Provider Name | Lorraine Wentz Bock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730164450 PECOS PAC ID: 3678543188 Enrollment ID: I20220623000808 |
| Provider Name | Caroline Orlando |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154205672 PECOS PAC ID: 2961995121 Enrollment ID: I20251205000766 |
Brightstar Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 163 N Main St, North Brookfield, MA 01535 Phone: 508-637-1604 Fax: 508-637-1605 |