Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Michelle Dalencour, MD

Individual provider Family Medicine Physician · NPI 1073873006

Dr. Michelle Dalencour, MD is a Family Practice in Mattapan, Massachusetts. Qualified in 2010, 16 years ago. Practices with Emerson Practice Associates, Inc, a 247-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Massachusetts.

Years since qualifying
16
Licensed in
MA
In the registry since
2012
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1575 Blue Hill Ave
Mattapan, MA 02126-2122
Phone: (617) 296-0061
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 263506 (MA)

Record details

NPI number1073873006
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 23, 2012
Last updated in NPPESJuly 18, 2016
Mailing address1575 Blue Hill Ave, Mattapan, MA 02126-2122

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Emerson Practice Associates, Inc — 247 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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