Justin Malette, | |
727 East Ave, Pawtucket, RI 02860-6185 | |
(401) 725-6190 | |
Not Available |
Full Name | Justin Malette |
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Gender | Male |
Speciality | Nurse Practitioner - Family |
Location | 727 East Ave, Pawtucket, Rhode Island |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1881336683 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | APRN03116 (Rhode Island) | Primary |
363LF0000X | Nurse Practitioner - Family | 00000 (Rhode Island) | Secondary |
Entity Name | Comprehensive Community Action, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366441719 PECOS PAC ID: 0749176055 Enrollment ID: O20040312000668 |
Entity Name | Coastal Medical Physicians Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780273540 PECOS PAC ID: 0345658316 Enrollment ID: O20210427001413 |
Mailing Address | Practice Location Address |
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Justin Malette, 14 Nancy Rd Apt 5, South Easton, MA 02375-1626 Ph: (508) 245-8067 | Justin Malette, 727 East Ave, Pawtucket, RI 02860-6185 Ph: (401) 725-6190 |
Daijsia Melena Bubb, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 39 East Ave, Pawtucket, RI 02860 Phone: 401-729-0080 | |
Stacey Almeida, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 727 East Ave, Pawtucket, RI 02860 Phone: 401-725-6160 Fax: 401-722-5430 | |
Mrs. Brandi Parker Cotton, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 160 Beechwood Ave, Pawtucket, RI 02860 Phone: 401-722-5573 Fax: 401-726-5571 | |
Mrs. Carol A Garcia-benoit, RNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 727 East Ave, Suite 100, Pawtucket, RI 02860 Phone: 401-725-6160 Fax: 401-722-5430 | |
Mellissa Gosset, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 333 School St # 112, Pawtucket, RI 02860 Phone: 401-726-9790 | |
Alicia Marie Barcelo, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 67 Bucklin St, Pawtucket, RI 02861 Phone: 978-473-6667 | |
Philomene Fortes, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 39 East Ave, Pawtucket, RI 02860 Phone: 401-722-0081 Fax: 401-312-0318 |