Dr Miguel Olmedo, DNP | |
605 Lincoln St, Worcester, MA 01605-1901 | |
(508) 856-0104 | |
Not Available |
Full Name | Dr Miguel Olmedo |
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Gender | Male |
Speciality | Nurse Practitioner |
Location | 605 Lincoln St, Worcester, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1154333920 | NPI | - | NPPES |
Y10141 | Other | MA | GROUP # |
NP3358 | Other | MA | BLUE CROSS BLUE SHIELD |
1300709 | Medicaid | MA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 212377 (Massachusetts) | Primary |
Entity Name | Family Health Center Of Worcester, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841200664 PECOS PAC ID: 4789670985 Enrollment ID: O20040422001380 |
Mailing Address | Practice Location Address |
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Dr Miguel Olmedo, DNP 605 Lincoln St, Worcester, MA 01605-1901 Ph: (508) 856-0104 | Dr Miguel Olmedo, DNP 605 Lincoln St, Worcester, MA 01605-1901 Ph: (508) 856-0104 |
Ms. Eileen A. Duhamel, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 55 Lake Ave N, Department Of Radiology, Worcester, MA 01655 Phone: 508-334-2710 | |
Erin Marie Bednarek, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 33 Kendall St, Worcester, MA 01605 Phone: 508-334-6255 Fax: 508-334-6063 | |
Natalia Alexandrovna Kottler, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 26 Queen Street, Worcester, MA 01610 Phone: 508-860-7800 | |
Kristen M Derosa, NNP-BC, ACNPC-AG Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 416 Belmont St, Worcester, MA 01604 Phone: 508-756-6609 | |
Dr. Laura Marie Knight, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 55 Lake Ave N, Worcester, MA 01655 Phone: 774-442-2761 | |
Ms. Colette Julia O'connor, ACNPC-AG Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 55 Lake Ave N, Worcester, MA 01655 Phone: 774-443-7552 | |
Sandra Bellini, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 119 Belmont St, Worcester, MA 01605 Phone: 508-334-6470 |