Melissa Thevenin, NP | |
489 Turnpike St, South Easton, MA 02375-1738 | |
(508) 208-7314 | |
Not Available |
Full Name | Melissa Thevenin |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 489 Turnpike St, South Easton, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1942909064 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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163W00000X | Registered Nurse | RN2310677 (Massachusetts) | Secondary |
363LF0000X | Nurse Practitioner - Family | RN2310677 (Massachusetts) | Primary |
Entity Name | Blueprint Healthcare Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467927483 PECOS PAC ID: 1153665062 Enrollment ID: O20200722000617 |
Mailing Address | Practice Location Address |
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Melissa Thevenin, NP 1515 Commercial St, Weymouth, MA 02189-3082 Ph: () - | Melissa Thevenin, NP 489 Turnpike St, South Easton, MA 02375-1738 Ph: (508) 208-7314 |
Maura Gray, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 21 Bristol Dr, Suite 100, South Easton, MA 02375 Phone: 508-565-7100 Fax: 508-565-7105 | |
Courtney Perette, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 21 Bristol Dr, Suite 100, South Easton, MA 02375 Phone: 508-565-7100 Fax: 508-565-7105 | |
Adom L Fermanian, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 45 Eastman St Ste 3, South Easton, MA 02375 Phone: 508-505-8830 |