Jessica R Wilson, CNM | |
55 Fogg Rd, Weymouth, MA 02190-2432 | |
(781) 624-8000 | |
(781) 878-6750 |
Full Name | Jessica R Wilson |
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Gender | Female |
Speciality | Advanced Practice Midwife |
Location | 55 Fogg Rd, Weymouth, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144528456 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367A00000X | Advanced Practice Midwife | RN2276660 (Massachusetts) | Primary |
Entity Name | South Shore Medical Center, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669411856 PECOS PAC ID: 3678487444 Enrollment ID: O20040413000332 |
Entity Name | Coastal Medical Associates |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932175684 PECOS PAC ID: 7113029257 Enrollment ID: O20070221000057 |
Mailing Address | Practice Location Address |
---|---|
Jessica R Wilson, CNM 143 Longwater Dr Ste 201, Norwell, MA 02061-1683 Ph: (781) 792-4167 | Jessica R Wilson, CNM 55 Fogg Rd, Weymouth, MA 02190-2432 Ph: (781) 624-8000 |
Ruby Ristuccia, Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 55 Fogg Rd, Weymouth, MA 02190 Phone: 781-624-8000 | |
Michelle Millerd, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 51 Performance Dr, Weymouth, MA 02189 Phone: 781-682-8000 | |
Michelle Ives, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 55 Fogg Rd, Weymouth, MA 02190 Phone: 781-624-8000 | |
Erica Truesdale-greil, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 55 Fogg Rd, Weymouth, MA 02190 Phone: 781-624-8000 | |
Karen Murphy-fitch, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 55 Fogg Road, Weymouth, MA 02190 Phone: 781-624-8000 Fax: 781-878-6750 |