| Ida Fazakas, APRN | |
|
108 Merrimack St, Haverhill, MA 01830-5210 | |
| (833) 510-4357 | |
| Not Available |
| Full Name | Ida Fazakas |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 108 Merrimack St, Haverhill, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285074278 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | RN2366571 (Massachusetts) | Primary |
| 363LA2200X | Nurse Practitioner - Adult Health | 071464-23 (New Hampshire) | Secondary |
| Entity Name | Vantage Healthcare Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366903551 PECOS PAC ID: 8224361191 Enrollment ID: O20190830001189 |
| Entity Name | Belonging Medical Group Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912482787 PECOS PAC ID: 8022443878 Enrollment ID: O20200124000402 |
| Mailing Address | Practice Location Address |
|---|---|
| Ida Fazakas, APRN 4600 Montgomery Rd Ste 400, Cincinnati, OH 45212-2600 Ph: (513) 873-1269 | Ida Fazakas, APRN 108 Merrimack St, Haverhill, MA 01830-5210 Ph: (833) 510-4357 |
Briana Marie Cody, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 77 Old Amesbury Line Rd, Haverhill, MA 01830 Phone: 978-228-8221 | |
Ms. Sarah J Jensen, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1 Parkway, Haverhill, MA 01830 Phone: 978-521-3270 Fax: 978-469-5374 | |
Marie Pierre Anderson, GNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 1 Merrimack Street, Haverhill Family Practice, Haverhill, MA 01830 Phone: 978-521-6555 | |
Ms. Karen Marie Tremblay, G.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 35 Avco Rd, Haverhill, MA 01835 Phone: 978-420-1500 Fax: 978-420-1465 | |
Paula Grant, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1 Parkway, Haverhill, MA 01830 Phone: 978-521-3230 Fax: 978-521-3256 | |
Jessica Knight, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 600 Primrose St Ste 101, Haverhill, MA 01830 Phone: 978-373-4400 | |
Ashley Paige Theroux, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Park Way, Haverhill, MA 01830 Phone: 888-227-3762 Fax: 978-374-6495 |