Melody M Banasiak, NP | |
222 Boston Tpke, Shrewsbury, MA 01545-5224 | |
(508) 853-2854 | |
(508) 853-4354 |
Full Name | Melody M Banasiak |
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Gender | Female |
Speciality | Nurse Practitioner - Gerontology |
Location | 222 Boston Tpke, Shrewsbury, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497405609 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LG0600X | Nurse Practitioner - Gerontology | RN2337205 (Massachusetts) | Primary |
Entity Name | Reliant Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720017528 PECOS PAC ID: 5597755322 Enrollment ID: O20040708000650 |
Mailing Address | Practice Location Address |
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Melody M Banasiak, NP 222 Boston Tpke, Shrewsbury, MA 01545-5224 Ph: () - | Melody M Banasiak, NP 222 Boston Tpke, Shrewsbury, MA 01545-5224 Ph: (508) 853-2854 |
Mandy Lynn Simon, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 166 South St, Shrewsbury, MA 01545 Phone: 857-294-7245 Fax: 857-294-7245 | |
Rosemary Martin, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 32 Whippoorwill Dr, Shrewsbury, MA 01545 Phone: 774-217-3437 | |
Mary Theresa Brennan, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 18 Ivy Path, Shrewsbury, MA 01545 Phone: 774-275-1269 | |
Karissa Mako, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 181 Main St, Shrewsbury, MA 01545 Phone: 978-457-2319 | |
Ashley Elizabeth Fuller, DNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 222 Boston Tpke, Shrewsbury, MA 01545 Phone: 508-853-2854 Fax: 508-853-4354 | |
Camila Gulin, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 100 Boston Tpke Ste J7, Shrewsbury, MA 01545 Phone: 508-425-4994 | |
Sarah Mary Doherty Amato, RN, MSN, ANP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 415 Boston Tpke, Suite 105, Shrewsbury, MA 01545 Phone: 508-845-8200 Fax: 508-845-8300 |