Kailey Emma Demoura, | |
12 Main St, Lakeville, MA 02347-1606 | |
(508) 946-0202 | |
Not Available |
Full Name | Kailey Emma Demoura |
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Gender | Female |
Speciality | Nurse Practitioner |
Location | 12 Main St, Lakeville, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1326816802 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | RN2318157 (Massachusetts) | Primary |
Entity Name | Southcoast Physicians Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336137629 PECOS PAC ID: 0749171957 Enrollment ID: O20040920000138 |
Mailing Address | Practice Location Address |
---|---|
Kailey Emma Demoura, 200 Mill Rd, Fairhaven, MA 02719-5252 Ph: (508) 973-2000 | Kailey Emma Demoura, 12 Main St, Lakeville, MA 02347-1606 Ph: (508) 946-0202 |
Kayla M Dasilva, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2 Lakeville Business Park, Lakeville, MA 02347 Phone: 508-947-0630 | |
Jacqueline Ann Tolosko, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 69 Main St, Lakeville, MA 02347 Phone: 508-947-4400 | |
Sandra Araujo, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12 Main St, Lakeville, MA 02347 Phone: 508-946-0202 | |
Paul Gould, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6 Race Course Rd, Lakeville, MA 02347 Phone: 508-725-7553 | |
Amy C. Hatch, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2 Lakeville Business Park, Lakeville, MA 02347 Phone: 508-947-0630 | |
Sherry Ann Szczepkowski-demoura, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 82 Freetown Street, Lakeville, MA 02347 Phone: 508-272-8672 |