Dr Kristen M Prescott, MD, IBCLC, FAAP | |
49 State Rd Ste 202, North Dartmouth, MA 02747-3322 | |
(508) 973-9240 | |
(508) 973-0306 |
Full Name | Dr Kristen M Prescott |
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Gender | Female |
Speciality | Pediatrics |
Location | 49 State Rd Ste 202, North Dartmouth, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1881640878 | NPI | - | NPPES |
30200835 | Medicaid | NH | |
01YP02463NH02 | Other | NH | ANTHEM |
17085 | Medicaid | ND |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 12361 (North Dakota) | Secondary |
208000000X | Pediatrics | 284305 (Massachusetts) | Primary |
Entity Name | Southcoast Physicians Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336137629 PECOS PAC ID: 0749171957 Enrollment ID: O20040920000138 |
Mailing Address | Practice Location Address |
---|---|
Dr Kristen M Prescott, MD, IBCLC, FAAP 200 Mill Rd, Fairhaven, MA 02719-5252 Ph: (508) 973-2000 | Dr Kristen M Prescott, MD, IBCLC, FAAP 49 State Rd Ste 202, North Dartmouth, MA 02747-3322 Ph: (508) 973-9240 |
Mrs. Lori Lee Georgeson, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 49 State Rd Ste 202, North Dartmouth, MA 02747 Phone: 508-973-9240 Fax: 508-973-0306 | |
Deborah Leigh Ondrasik, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 49 State Rd, North Dartmouth, MA 02747 Phone: 508-973-9240 Fax: 508-973-0306 | |
Dr. Lawrence R Dehner, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 49 State Road, Nauset Bldg, North Dartmouth, MA 02747 Phone: 508-973-9240 Fax: 508-973-0306 | |
Elizabeth Smith, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 49 State Road, Nauset Bldg, Suite 202, North Dartmouth, MA 02747 Phone: 089-739-2405 | |
Dr. Mohsen A Elhaddad, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 49 State Rd, Pequot Bldg #201, North Dartmouth, MA 02747 Phone: 508-961-1644 Fax: 508-984-5893 |