| Elizabeth M Moran, CPNP-PC | |
|
637 Washington St, Dorchester, MA 02124-3510 | |
| (617) 825-9660 | |
| (617) 288-7898 |
| Full Name | Elizabeth M Moran |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Pediatrics |
| Location | 637 Washington St, Dorchester, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205494630 | NPI | - | NPPES |
| 110154073A | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0200X | Nurse Practitioner - Pediatrics | RN2326091 (Massachusetts) | Primary |
| Entity Name | Codman Square Health Center, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396808309 PECOS PAC ID: 8123013869 Enrollment ID: O20040420000859 |
| Mailing Address | Practice Location Address |
|---|---|
| Elizabeth M Moran, CPNP-PC 637 Washington St, Dorchester, MA 02124-3510 Ph: (617) 825-9660 | Elizabeth M Moran, CPNP-PC 637 Washington St, Dorchester, MA 02124-3510 Ph: (617) 825-9660 |
Karla I Noonan, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 632 Blue Hill Ave, Dorchester, MA 02121 Phone: 617-825-3400 | |
Jocelyn Loftus, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 398 Neponset Ave, Dorchester, MA 02122 Phone: 617-282-3200 Fax: 617-282-7928 | |
Allison Foley, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 398 Neponset Ave, Dorchester, MA 02122 Phone: 617-282-3200 Fax: 617-282-8201 | |
Rachel Marino, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 425 Harvard St, Dorchester, MA 02124 Phone: 978-857-5961 | |
Ms. Denise Marie Croken, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 637 Washington St, Dorchester, MA 02124 Phone: 617-825-9660 | |
Kathleen Black Tenerowicz, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1353 Dorchester Ave, Dorchester, MA 02122 Phone: 617-288-3230 Fax: 617-825-4972 | |
Jane F Tuitt, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 637 Washington St, Dorchester, MA 02124 Phone: 617-822-8211 Fax: 617-288-7898 |