Overview
No Referral Sources
No Referral Destinations
Practice Locations 10 Same Address Same Phone Medical Groups 2
No Affl. Hospitals
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Primary Practice Address
416 BELMONT ST
WORCESTER, MA 01604-1086 US
PECOS Enrolled

Kristen M Derosa

Nurse Practitioner (Neonatal)

Overview

Kristen M Derosa is a Nurse Practitioner (Neonatal) in the WORCESTER area and has over 4 years of experience. Kristen M Derosa primary office location is at 416 BELMONT ST and new patients are welcome to contact this healthcare provider for an appointment. We do not know where she was educated but we know that she graduated in 2019 The NPI number is 1003469230 and the information was updated approximately 4 years ago.

Kristen M Derosa is part of two medical groups, including WORCESTER INTERNAL MEDICINE, INC..

We have not detected any Exclusions tied directly to this NPI.

Accepts Medicare Assignment: Unknown

Is sole proprietor: YES

Participates in PECOS: YES (See any PECOS details below)

Contact Information

Primary Practice Location Information
416 BELMONT ST
WORCESTER, MA 01604-1086 US
Phone: (508)-756-6609
Fax:
Practice Mailing Information
10 DAMON RD
HOLDEN, MA 01604-1086 US
Phone: (202)-491-1043
Fax:

Practice Location Addresses: 9

License NumberState
45177KS
Type/IssuerIdentifierState
NCC CERTIFICATION ID104252227-
NATIONAL CERTIFICATION CORPORATION: CERTIFICATION ID104252227-

PECOS Details:

Participates in PECOS: YES
PECOS Individual Enrollment ID: I20200116000480
PECOS Individual PAC ID:6204261480
Eligible to order/refer Part B Clinical Laboratory and Imaging Yes
Eligible to order/refer Durable Medical Equipment (DME) Yes
Eligible to order/refer Home Health Agency (HHA) Yes
Eligible to order/refer Power Mobility Devices (PMD) Yes

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