COMMONWEALTH CARE ALLIANCE, INC. (NPI# 1851797542) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851797542 |
| Entity Type | Organization |
| Organization Name | COMMONWEALTH CARE ALLIANCE, INC. |
| Practice Address |
30 Winter St Boston MA 02108-4720 |
| Practice Telephone | 6174260600 |
| Practice Fax Number | 6175177738 |
| Mailing Telephone | 6174260600 |
| Mailing Fax Number | 6175177738 |
| Enumeration Date | 2014-11-07 |
| Last Update Date | 2014-11-07 |
| Authorized Official Name | MS. NANCY J ROACH (CHIEF OPERATING OFFICER) |
| Authorized Official Telephone | 6174260600 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 302F00000X | Exclusive Provider Organization | Managed Care Organizations |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063815108 | Commonwealth Care Alliance, Inc. | Respite Care | 2100 Dorchester Ave, Dorchester Center, MA 02124-5615 | 2014-10-03 |
| Street Address |
30 WINTER ST |
| City | BOSTON |
| State | MA |
| Zip Code | 02108-4720 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588626501 | Peggy Lyn Johnson | Psychiatry & Neurology | 30 Winter St, Suite 802, Boston, MA 02108-4720 | 2006-04-05 |
| 1417554858 | Robin Alsarras | Registered Nurse | 30 Winter St, Boston, MA 02108-4720 | 2020-10-08 |
| 1780231779 | Andrew Mendonsa | Registered Nurse | 30 Winter St, Boston, MA 02108-4720 | 2019-08-23 |
| 1427605997 | Sergio Serpa | Registered Nurse | 30 Winter St, Boston, MA 02108-4720 | 2019-08-20 |
| 1013570605 | Changhee Park | Nurse Practitioner | 30 Winter St, Boston, MA 02108-4720 | 2019-04-18 |
| 1164801486 | Artemis Diane Panagopoulos | Physician Assistant | 30 Winter St, 12th Floor, Boston, MA 02108-4720 | 2015-05-19 |
| 1245640853 | Zelys Yiseirie Adorno | Pharmacist | 30 Winter St, Boston, MA 02108-4720 | 2014-05-05 |
| 1205252731 | Brynn O'donnell | Registered Nurse | 30 Winter St, Boston, MA 02108 | 2014-03-07 |
| 1740579499 | Amparo Velasquez | Counselor | 30 Winter St, Boston, MA 02108-4720 | 2011-04-04 |
| 1447562335 | Lady-thelma W Bolduc | Registered Nurse | 30 Winter St, Boston, MA 02108-4720 | 2010-07-08 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366947954 | Karrin Weisenthal | Emergency Medicine | 1 Boston Pl Rm 1322, Boston, MA 02108 | 2018-03-27 |
| 1619225786 | Ahmed M Hamada-ibrahim | Dentist | 32 Tremont Sytreet, Citidental, Boston, MA 02108 | 2012-08-21 |
| 1114226750 | Richard J Osorio | Counselor | 30 Winter Street, Boston Asap, Boston, MA 02108 | 2011-03-22 |
| 1487956835 | Melissa Jean Leite | Dental Hygienist | 250 Washington Street, Boston, MA 02108 | 2010-11-17 |
| 1518274117 | Ada Stefanescu | Internal Medicine | Mgh Downtown Associates, 294 Washington St Ste 210, Boston, MA 02108 | 2010-09-03 |
| 1679798599 | Lauren Carter Ledbetter | Social Worker | Ten Milk Street, Boston, MA 02108 | 2007-04-16 |
| 1790900157 | Lawrence K Gottlieb | Internal Medicine | Intermed Advisors Inc., One Boston Place, Suite 2815, Boston, MA 02108 | 2007-04-13 |
| 1285761841 | Gerardo A Yanayaco | Internal Medicine | Laser Hair Removal, LLC, 333 Washington Street, #221, Boston, MA 02108 | 2007-02-28 |
| 1295863603 | William F Sullivan | Counselor | Adcare, 14 Beacon Street, 801, Boston, MA 02108 | 2007-02-28 |
| 1659432573 | Madeleine I Littman | Psychologist | 15 Court Square, Suite 830, Boston, MA 02108 | 2006-12-13 |
| Find all providers in zip 02108 | ||||
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962690461 | Charles Trey M D & Associates P C | Exclusive Provider Organization | 110 Francis St, Suite 8a, Boston, MA 02215-5501 | 2007-10-09 |
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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.