Mrs Martha G Charley, FNP | |
Southbridge Pain Clinic, 48 Main Street Suite 6, Sturbridge, MA 01566 | |
(508) 347-9111 | |
Not Available |
Full Name | Mrs Martha G Charley |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | Southbridge Pain Clinic, Sturbridge, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1609368919 | NPI | - | NPPES |
110197544A | Medicaid | MA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | APRN01800 (Rhode Island) | Secondary |
363LF0000X | Nurse Practitioner - Family | RN213217 (Massachusetts) | Primary |
Entity Name | Trucare Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538659081 PECOS PAC ID: 1850646811 Enrollment ID: O20180614001472 |
Mailing Address | Practice Location Address |
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Mrs Martha G Charley, FNP 637 Washington St, Dorchester, MA 02124-3510 Ph: (617) 825-9660 | Mrs Martha G Charley, FNP Southbridge Pain Clinic, 48 Main Street Suite 6, Sturbridge, MA 01566 Ph: (508) 347-9111 |
Jessica Locke, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 198 Charlton Rd, Sturbridge, MA 01566 Phone: 508-347-7585 | |
Samantha Elizabeth Donlon, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 198 Charlton Rd, Sturbridge, MA 01566 Phone: 508-347-7585 | |
Peter Earle Cestodio, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 198 Charlton Rd, Sturbridge, MA 01566 Phone: 508-765-1600 | |
Ginny K Crosse, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 198 Charlton Rd, Sturbridge, MA 01566 Phone: 508-347-9240 |