Micaela Grace Costa, FNP-C | |
21 Ivy Meadows Ln, Westport, MA 02790-4951 | |
(508) 523-1883 | |
Not Available |
Full Name | Micaela Grace Costa |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Location | 21 Ivy Meadows Ln, Westport, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1649957515 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | RN2302436 (Massachusetts) | Primary |
Entity Name | Prima Care Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265422596 PECOS PAC ID: 2567356017 Enrollment ID: O20040214000027 |
Mailing Address | Practice Location Address |
---|---|
Micaela Grace Costa, FNP-C 21 Ivy Meadows Ln, Westport, MA 02790-4951 Ph: (508) 523-1883 | Micaela Grace Costa, FNP-C 21 Ivy Meadows Ln, Westport, MA 02790-4951 Ph: (508) 523-1883 |
Ms. Shannon L Avery-desmarais, MSN, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 827 American Legion Hwy, Westport, MA 02790 Phone: 508-636-5101 Fax: 508-636-3651 | |
Jacqueline Freitas Rosa, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 827 American Legion Hwy, Westport, MA 02790 Phone: 508-636-5101 Fax: 508-636-3651 | |
Westley James Drabble, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 774 Old County Rd, Westport, MA 02790 Phone: 774-264-1774 | |
Pebbles Lee Stevens, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 42 J Dr, 2e, Westport, MA 02790 Phone: 508-837-4332 | |
Elizabeth Donaghey, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 829 Main Road, Westport, MA 02790 Phone: 508-636-5101 Fax: 508-636-3651 | |
Mrs. Monica Ann Rothwell, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 599 State Rd, Westport, MA 02790 Phone: 866-389-2727 Fax: 401-216-3854 |