| Upward Health Of Massachusetts Pc | |
|
6 Liberty Sq # 2694 Boston MA 02109-5800 | |
| (888) 985-5455 | |
| Not Available |
| Full Name | Upward Health Of Massachusetts Pc |
|---|---|
| Speciality | General Practice |
| Location | 6 Liberty Sq # 2694, Boston, Massachusetts |
| Authorized Official Name and Position | Dennis Mihale (CEO) |
| Authorized Official Contact | 8134946987 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Upward Health Of Massachusetts Pc 80 Arkay Dr Ste 230 Hauppauge NY 11788-3705 Ph: (888) 985-5455 | Upward Health Of Massachusetts Pc 6 Liberty Sq # 2694 Boston MA 02109-5800 Ph: (888) 985-5455 |
| NPI Number | 1427668169 |
|---|---|
| Provider Enumeration Date | 08/07/2020 |
| Last Update Date | 10/19/2021 |
| Medicare PECOS PAC ID | 6507285533 |
|---|---|
| Medicare Enrollment ID | O20200924002270 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427668169 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Alicia A Van Ihinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417924986 PECOS PAC ID: 3274695531 Enrollment ID: I20081219000330 |
| Provider Name | Kristin F Cadieux |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770884462 PECOS PAC ID: 6103005806 Enrollment ID: I20110127000334 |
| Provider Name | Anubhav Kaul |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1023457975 PECOS PAC ID: 8729368618 Enrollment ID: I20161212001205 |
| Provider Name | Dennis P H Mihale |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1508025859 PECOS PAC ID: 0547585481 Enrollment ID: I20201106000683 |
| Provider Name | Erica Chase |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902029440 PECOS PAC ID: 5294166815 Enrollment ID: I20210106002436 |
| Provider Name | Delise M Mckay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912517848 PECOS PAC ID: 8123448560 Enrollment ID: I20220815002098 |
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