Biana K Mico (NPI# 1295111888, PAC ID# 2163720871) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1295111888 |
| PAC ID by PECOS | 2163720871 |
| Professional Enrollment ID | I20160413001846 |
| Full Name | Biana K Mico |
| Organization Legal Name | NEWTON WELLESLEY MEDICAL GROUP INC |
| Address |
195 Worcester St Primary Care of Wellesley Wellesley MA 02481-5568 |
| Phone Number | 6172191510 |
| Gender | F |
| Graduation Year | 2015 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 0244133494 |
| Number of Group Practice Members | 312 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 220101 | NEWTON-WELLESLEY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 195 Worcester St, Primary Care of Wellesley, Wellesley, MA 02481-5568 | 6172191510 | NEWTON WELLESLEY MEDICAL GROUP INC |
| Organization Legal Name | NEWTON WELLESLEY MEDICAL GROUP INC |
| Physicians | 308 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nancy Wang | Neurology | Newton Wellesley Medical Group Inc | 2014 Washington St, Newton, MA 02462-1607 |
| Courtney Healy | Nurse Practitioner | Newton Wellesley Medical Group Inc | 111 Norfolk St, Walpole, MA 02081-1703 |
| Sally E Mcnagny | Internal Medicine | Newton Wellesley Medical Group Inc | 1450 Highland Ave, Suite 2, Needham, MA 02492-2695 |
| Anne E Lynch | Nurse Practitioner | Newton Wellesley Medical Group Inc | 159 Wells Ave, Newton, MA 02459-3301 |
| Jeffrey W Phillips | Family Medicine | Newton Wellesley Medical Group Inc | 173 Worcester St, Wellesley, MA 02481-5527 |
| Tania M Bandak | Family Medicine | Newton Wellesley Medical Group Inc | 45 Colpitts Rd, Weston, MA 02493-1546 |
| Ali Tirmizi | Internal Medicine | Newton Wellesley Medical Group Inc | 978 Worcester St, 2nd Fl Nw Physicians Primary Care, Wellesley, MA 02482-3709 |
| Nicholas M Mascoli | Internal Medicine | Newton Wellesley Medical Group Inc | 2000 Washington St, White Bldg Suite 546, Newton, MA 02462-1624 |
| Jacquelyn Don Perna | Family Medicine | Newton Wellesley Medical Group Inc | 2014 Washington St, Newton, MA 02462-1607 |
| Deborah A Hadley | Internal Medicine | Newton Wellesley Medical Group Inc | 2014 Washington St, Newton, MA 02462-1607 |
| Street Address |
195 WORCESTER ST PRIMARY CARE OF WELLESLEY |
| City | WELLESLEY |
| State | MA |
| Zip | 02481-5568 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nicole M Larue | Internal Medicine | Newton Wellesley Medical Group Inc | 195 Worcester St, Primary Care of Wellesley, Wellesley, MA 02481-5568 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Susan M Hopper | Physical Therapy | 49 Walnut Park, Suite 5, Wellesley, MA 02481 | |
| Madeline C Krauss | Dermatology | 1 Washington Sreet, Suite 401, Wellesley, MA 02481 | |
| Hal D Cash | Psychiatry | 27 Mica Lane, Suite 205, Wellesley, MA 02481 | |
| Ronni L Michaelson | Psychologist, Clinical | 83 Elmwood Rd, Wellesley, MA 02481-1147 | |
| David M Soll | Optometry | Myeyedr Optometry of Massachusetts P C | 1 Washington St, Suite 101, Wellesley, MA 02481-1706 |
| Leslie Somohano | Optometry | Myeyedr Optometry of Massachusetts P C | 1 Washington St, Suite 101, Wellesley, MA 02481-1706 |
| Leonard J Sommer | Psychologist, Clinical | 1 Washington St, Suite 305, Wellesley Hills, MA 02481-1706 | |
| Douglas Jacobs | Psychiatry | 1 Washington St, Suite 302, Wellesley Hills, MA 02481-1706 | |
| Dean Levy | Psychologist, Clinical | 1 Washington St, Suite 305, Wellesley, MA 02481-1706 | |
| Lynn F Wittman | Optometry | Myeyedr Optometry of Massachusetts P C | 1 Washington St, Suite 101, Wellesley, MA 02481-1706 |
| Find all physicians in zip 02481 | |||
| City | WELLESLEY |
| Zip Code | 02481 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | WELLESLEY + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Biana K Mico.
| 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.