Adrienne-leigh Davis Gordon, | |
110 Liberty Ave Apt 1, Somerville, MA 02144-2024 | |
(570) 713-7211 | |
Not Available |
Full Name | Adrienne-leigh Davis Gordon |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 110 Liberty Ave Apt 1, Somerville, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1699482786 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | F10220741 (Massachusetts) | Primary |
Entity Name | Molina Care Connections Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407243223 PECOS PAC ID: 5799062881 Enrollment ID: O20220323001711 |
Mailing Address | Practice Location Address |
---|---|
Adrienne-leigh Davis Gordon, 110 Liberty Ave Apt 1, Somerville, MA 02144-2024 Ph: (570) 713-7211 | Adrienne-leigh Davis Gordon, 110 Liberty Ave Apt 1, Somerville, MA 02144-2024 Ph: (570) 713-7211 |
Carmen Phillips, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 260 Elm St, Somerville, MA 02144 Phone: 617-666-9577 | |
Rita Onyero Agholor, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5 Middlesex Ave, Somerville, MA 02145 Phone: 617-623-3211 | |
Maria Elizabeth Hedberg, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 40 Holland St, Somerville, MA 02144 Phone: 617-629-6000 | |
Ms. Brenda Ann Rogers, A.P.R.N. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 236 Highland Ave, Somerville, MA 02143 Phone: 617-298-4400 Fax: 617-298-2100 | |
Sheena Ann Fremault Macedo, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 40 Holland St, Somerville, MA 02144 Phone: 617-629-6032 | |
Mrs. Michelle Lynn Clarke, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 260 Elm St, Suite 105, Somerville, MA 02144 Phone: 617-666-9577 Fax: 617-666-3190 | |
Mr. Donn Bullens Jr., Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 401 Highland Ave, Somerville, MA 02144 Phone: 339-368-7696 |