Molly Lacher-katz, | |
593 Eddy St, Claverick 2, Providence, RI 02903-4923 | |
(401) 444-4900 | |
Not Available |
Full Name | Molly Lacher-katz |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Pediatrics |
Location | 593 Eddy St, Providence, 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 |
---|---|---|---|
1740604701 | NPI | - | NPPES |
ML97098 | Medicaid | RI | |
U400156204 | Other | RI | MEDICARE-NGS |
110100689A | Medicaid | MA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0200X | Nurse Practitioner - Pediatrics | APRN00594 (Rhode Island) | Primary |
363LP0200X | Nurse Practitioner - Pediatrics | CAPRN00594 (Rhode Island) | Secondary |
Entity Name | Brown Emergency Medicine |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962455022 PECOS PAC ID: 7214833169 Enrollment ID: O20040116000868 |
Mailing Address | Practice Location Address |
---|---|
Molly Lacher-katz, 146 Cypress St, Apt B, Providence, RI 02906-2508 Ph: (401) 529-6045 | Molly Lacher-katz, 593 Eddy St, Claverick 2, Providence, RI 02903-4923 Ph: (401) 444-4900 |
Mrs. Halina Kuc-mazgaj, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 164 Summit Ave, The Miriam Hospital, Providence, RI 02906 Phone: 401-793-3902 | |
Tanya A White, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 530 N Main St, Providence, RI 02904 Phone: 401-276-4020 | |
Phina A Mayu, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1 Randall Sq, Providence, RI 02904 Phone: 401-274-6339 Fax: 401-453-6290 | |
Beverly Casinelli, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 765 Allens Ave, Providence, RI 02905 Phone: 401-606-4150 | |
Elizabeth Moore Medbury, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 830 Chalkstone Ave, Providence, RI 02908 Phone: 401-273-7011 | |
Abigail Leah Soscia, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 101 Dudley Street, Wih Neonatology/pediatrics, Providence, RI 02905 Phone: 401-274-1122 Fax: 401-453-7571 | |
Jennifer R Ouellette, MSN, RNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: Pvamc 830 Chalkstone Ave, Firm Vi, Providence, RI 02908 Phone: 401-273-7100 |