PROCARE DENTAL INC (NPI# 1588947428) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588947428 |
| Entity Type | Organization |
| Organization Name | PROCARE DENTAL INC |
| Practice Address |
51 Mill St Suite 4 Hanover MA 02339-1641 |
| Practice Telephone | 5087437888 |
| Practice Fax Number | 8885944595 |
| Mailing Telephone | 5087437888 |
| Mailing Fax Number | 8885944555 |
| Enumeration Date | 2011-09-27 |
| Last Update Date | 2011-10-07 |
| Authorized Official Name | SANG JIN LEE (OWNER) |
| Authorized Official Telephone | 5087437888 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 302F00000X | Exclusive Provider Organization | 21084 | MA | Managed Care Organizations |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 9762540 | 05 |
| Street Address |
51 MILL ST SUITE 4 |
| City | HANOVER |
| State | MA |
| Zip Code | 02339-1641 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023009495 | Kathleen E Fortini | Nurse Practitioner | 51 Mill St, Building E #17, Hanover, MA 02339-1641 | 2005-11-03 |
| 1407230873 | Matthew Bennett May | Dentist | 51 Mill St, Suite 10, Hanover, MA 02339-1641 | 2015-07-16 |
| 1669808952 | Sarah E Thornton | Nurse Practitioner | 51 Mill St, Bld E, Suite 17, Hanover, MA 02339-1641 | 2013-09-19 |
| 1043560451 | Hanover Endodontics LLC | Dentist | 51 Mill St, Unite #4, Hanover, MA 02339-1641 | 2012-09-12 |
| 1093096166 | Brittany Lynn Perlis | Nurse Practitioner | 51 Mill St, Building E, Suite 17, Hanover, MA 02339-1641 | 2011-09-02 |
| 1891948741 | Julie Baumler Bosworth | Dietitian, Registered | 51 Mill St, Ste 8, Hanover, MA 02339-1651 | 2008-10-23 |
| 1073786398 | Robert S. Leland, Dmd, P.C. | Dentist | 51 Mill St, Suite 10, Hanover, MA 02339-1641 | 2008-04-08 |
| 1609061613 | Charles C Hur Dmd P.C. | Dentist | 51 Mill St, Ste 4, Hanover, MA 02339-1641 | 2007-09-12 |
| 1831301209 | Cheryl Ann Larson | Social Worker | 51 Mill St, Suite # 8, Hanover, MA 02339-1641 | 2007-05-05 |
| 1790810752 | Harmony Wellness Center Inc. | Counselor | 51 Mill St, # 8, Hanover, MA 02339-1641 | 2007-02-22 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477916500 | Michelle Benvie | Dietitian, Registered | 228 Columbia Rd, D3, Hanover, MA 02339 | 2016-04-05 |
| 1942577242 | Dalissa Rubi Kelly | Pharmacist | 1167 Washington St., T-2532, Hanover, MA 02339 | 2011-11-30 |
| 1124306220 | Cynthia Kay Wisted | Physical Therapist | 645 Washington St, Hanover, MA 02339 | 2011-07-25 |
| 1033405121 | Micaela Joy Lacasse | Pharmacist | 1167 Washington Street, T-2532, Hanover, MA 02339 | 2011-06-27 |
| 1578862272 | Life Enhancement Psychotherapy LLC | Social Worker | 427 Columbia Rd Ste 108, Hanover, MA 02339 | 2011-03-21 |
| 1396067427 | Leslie Anne Powers | Marriage & Family Therapist | 51 Mill Street, Suite 8, Hanover, MA 02339 | 2010-02-16 |
| 1871824912 | Mary Teresa Egan | Acupuncturist | 222 Webster Street, Hanover, MA 02339 | 2010-01-28 |
| 1669604393 | Cvs Pharmacy Inc. | Durable Medical Equipment & Medical Supplies | 1167 Washington St, Hanover, MA 02339 | 2009-08-13 |
| 1720248404 | Louis J Vanrenen | Acupuncturist | American Acupuncture, 171 Rockland Street, Hanover, MA 02339 | 2008-06-16 |
| 1629245204 | Jeanne M Christianson | Acupuncturist | Harmony Wellness Center, 51 Mill Street #8, Hanover, MA 02339 | 2008-05-13 |
| Find all providers in zip 02339 | ||||
| Taxonomy Code | 302F00000X |
| Grouping | Managed Care Organizations |
| Classification | Exclusive Provider Organization |
| (1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage for the medical service; (2) While similar to a PPO in that an EPO allows patients to go outside the network for care, if they do so in an EPO, they are required to pay the entire cost of care. An EPO differs from an HMO in that EPO physicians do not receive capitation but instead are reimbursed only for actual services provided; (3) An organization identical to a preferred provider organization except that persons enrolled in the plan are eligible to receive benefits only when they use the services of the contracting providers. No benefits are available when non-contracting providers are used, except in certain emergency situations. |
| Notes: Source: (1) Medical Interface: Managed Care A thru Z- Managed Care Terms published by Medicom International, Bronxville, New York Telephone (914) 337-5023, p. 15; (2) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 58; (3) Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
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| 1952658056 | Mass Kidz Healthy Smiles LLC | Exclusive Provider Organization | 126 Audubon Ave, Braintree, MA 02184-2352 | 2012-08-07 |
| 1114280286 | South Shore Mental Health | Exclusive Provider Organization | 16 Penniman Circle, Stoughton, MA 02072 | 2012-06-22 |
| 1689949232 | Caring Home Health Care, LLC | Exclusive Provider Organization | 58 Princeton Rd, Malden, MA 02148-1642 | 2012-03-15 |
| 1497052930 | Cleghorn Professional Counseling Center | Exclusive Provider Organization | 63 Fairmount St Rear, Fitchburg, MA 01420-7613 | 2011-02-18 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.