Tanya Peaslee (NPI# 1275082083, PAC ID# 1153601679) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1275082083 |
| PAC ID by PECOS | 1153601679 |
| Professional Enrollment ID | I20161129001344 |
| Full Name | Tanya Peaslee |
| Organization Legal Name | MANET COMMUNITY HEALTH CENTER INC. |
| Address |
180 George Washington Blvd Hull MA 02045-3069 |
| Phone Number | 7819254550 |
| Gender | F |
| Medical School | NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY |
| Graduation Year | 2016 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 4486555158 |
| Number of Group Practice Members | 33 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 220100 | SOUTH SHORE HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 180 George Washington Blvd, Hull, MA 02045-3069 | 7819254550 | MANET COMMUNITY HEALTH CENTER INC. |
| 110 W Squantum St, Quincy, MA 02171-2122 | 6173763000 | MANET COMMUNITY HEALTH CENTER INC. |
| Organization Legal Name | MANET COMMUNITY HEALTH CENTER INC. |
| Physicians | 31 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Vikram Butani | Family Medicine | Manet Community Health Center Inc. | 110 W Squantum St, Quincy, MA 02171-2122 |
| Timothy Comeaux | Clinical Social Worker | Manet Community Health Center Inc. | 110 W Squantum St, Quincy, MA 02171-2122 |
| Nina Lowery | Physician Assistant | Manet Community Health Center Inc. | 110 W Squantum St, Quincy, MA 02171-2122 |
| Hannah-mariah Whittle Severns | Nurse Practitioner | Manet Community Health Center Inc. | 110 W Squantum St, Quincy, MA 02171-2122 |
| Karla Talledo Thais | Internal Medicine | Manet Community Health Center Inc. | 110 W Squantum St, Quincy, MA 02171-2122 |
| Jeanne Marie T Hopkins | Optometry | Manet Community Health Center Inc. | 110 W Squantum St, Quincy, MA 02171-2122 |
| Katherine R Standish | Family Medicine | Manet Community Health Center Inc. | 110 W Squantum St, Quincy, MA 02171-2122 |
| Lily Y Yung | Internal Medicine | Manet Community Health Center Inc. | 110 W Squantum St, Quincy, MA 02171-2122 |
| Nikita Fitzcharles | Internal Medicine | Manet Community Health Center Inc. | 110 W Squantum St, Quincy, MA 02171-2122 |
| Jennifer F Sabir | Family Medicine | Manet Community Health Center Inc. | 180 George Washington Blvd, Hull, MA 02045-3069 |
| Street Address |
180 GEORGE WASHINGTON BLVD |
| City | HULL |
| State | MA |
| Zip | 02045-3069 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer F Sabir | Family Medicine | Manet Community Health Center Inc. | 180 George Washington Blvd, Hull, MA 02045-3069 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Debra S Goldenberg | Clinical Social Worker | 1125 Nantasket Ave, Hull, MA 02045-1310 | |
| John J Johnston | Physical Therapy | 664 Nantasket Ave, Hull, MA 02045-2148 | |
| Hilary W Williams | Optometry | 538 Nantasket Ave, Hull, MA 02045-2521 | |
| John D Reilly Jr. | Physical Therapy | 121 Nantasket Ave, Suite 105, Hull, MA 02045-3106 |
| City | HULL |
| Zip Code | 02045 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | HULL + PHYSICIAN ASSISTANT |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.