Joan T Wildenhain, NP | |
479 Swansea Mall Dr, Swansea, MA 02777-4119 | |
(508) 973-1550 | |
(508) 973-0386 |
Full Name | Joan T Wildenhain |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 26 Years |
Location | 479 Swansea Mall Dr, Swansea, Massachusetts |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1720073455 | NPI | - | NPPES |
110105942A | Medicaid | MA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | RN225095 (Massachusetts) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Southcoast Hospitals Group | Fall river, MA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Southcoast Physicians Group Inc | 0749171957 | 744 |
Southcoast Physicians Group Inc | 0749171957 | 744 |
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: O20050502000716 |
Mailing Address | Practice Location Address |
---|---|
Joan T Wildenhain, NP 200 Mill Rd, Suite 180, Fairhaven, MA 02719-5252 Ph: (508) 973-2000 | Joan T Wildenhain, NP 479 Swansea Mall Dr, Swansea, MA 02777-4119 Ph: (508) 973-1550 |
Katherine Y Benevides, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 479 Swansea Mall Dr, Swansea, MA 02777 Phone: 508-973-1570 Fax: 508-973-1545 | |
Mrs. Chelsea Rae Manzone, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 479 Swansea Mall Dr, Swansea, MA 02777 Phone: 508-973-1570 | |
Carolyn L Hiscox, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 479 Swansea Mall Dr, Swansea, MA 02777 Phone: 508-672-5300 Fax: 508-672-9987 | |
Jocelyn M Cabral, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 26 Idlewoods Dr, Swansea, MA 02777 Phone: 774-319-4434 | |
Brian Costa, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 479 Swansea Mall Dr, Swansea, MA 02777 Phone: 508-973-1570 Fax: 508-993-1545 | |
Catherine Teresa Sunderland, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 463 Swansea Mall Dr, Swansea, MA 02777 Phone: 508-324-1060 | |
Adam Brant Sevensma, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 479 Swansea Mall Dr, Swansea, MA 02777 Phone: 508-973-1570 Fax: 508-973-1545 |