Mrs Marie Lunie Bazile, | |
8 Oetman Way, Lancaster, MA 01523-2866 | |
(508) 510-0003 | |
Not Available |
Full Name | Mrs Marie Lunie Bazile |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 8 Oetman Way, Lancaster, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174248041 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 2022056568 (Massachusetts) | Primary |
Entity Name | Ideal Healthcare Solutions Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033358536 PECOS PAC ID: 0042376899 Enrollment ID: O20090304000179 |
Entity Name | Signify Health Medical Associates Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20200204002341 |
Mailing Address | Practice Location Address |
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Mrs Marie Lunie Bazile, Po Box 413, South Lancaster, MA 01561 Ph: (508) 510-0003 | Mrs Marie Lunie Bazile, 8 Oetman Way, Lancaster, MA 01523-2866 Ph: (508) 510-0003 |
Karen Ann Coteleso, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 136 High Street Ext, Lancaster, MA 01523 Phone: 978-368-8956 | |
Emily Guptill, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 62 Pilgrim Rd, Lancaster, MA 01523 Phone: 781-439-5924 |