Brent Medeiros, | |
1030 President Ave Rm 304, Fall River, MA 02720-5923 | |
(508) 235-6427 | |
(508) 235-6654 |
Full Name | Brent Medeiros |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Location | 1030 President Ave Rm 304, Fall River, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1598362311 | NPI | - | NPPES |
APRN02417 | Other | RI | APRN LICENSE |
RN2293550 | Other | MA | APRN LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | APRN02417 (Rhode Island) | Secondary |
363L00000X | Nurse Practitioner | RN2293550 (Massachusetts) | Primary |
Entity Name | Southcoast Physicians Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336137629 PECOS PAC ID: 0749171957 Enrollment ID: O20040920000138 |
Entity Name | Fall River Nephrology Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407064348 PECOS PAC ID: 1850465022 Enrollment ID: O20080806000291 |
Entity Name | Sturdy Memorial Associates Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063866176 PECOS PAC ID: 9537152806 Enrollment ID: O20160811001583 |
Mailing Address | Practice Location Address |
---|---|
Brent Medeiros, 226 Beckwith St, Cranston, RI 02910-1851 Ph: () - | Brent Medeiros, 1030 President Ave Rm 304, Fall River, MA 02720-5923 Ph: (508) 235-6427 |
Erin E Dacey, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 363 Highland Ave, Fall River, MA 02720 Phone: 508-973-5918 Fax: 508-973-5916 | |
Katherine E Serra, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 386 Stanley St, Fall River, MA 02720 Phone: 508-679-5222 Fax: 508-673-3182 | |
Matthew Paul Bock, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 386 Stanley St, Fall River, MA 02720 Phone: 508-679-5222 Fax: 508-673-3182 | |
Alicia Larock, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 363 Highland Ave, Fall River, MA 02720 Phone: 508-679-3131 | |
Jessica Lynn Shippee, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 363 Highland Ave, Fall River, MA 02720 Phone: 508-973-7109 Fax: 508-973-7149 | |
Kendra Lund, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1030 President Ave # 2001, Fall River, MA 02720 Phone: 508-679-6833 | |
Maxine Dube, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 400 Stanley St, Fall River, MA 02720 Phone: 508-675-1054 Fax: 508-324-7777 |