Theresa Vertullo, PNP | |
155 East Woodside Avenue, Patchogue, NY 11772 | |
(631) 758-6565 | |
(631) 758-6568 |
Full Name | Theresa Vertullo |
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Gender | Female |
Speciality | Nurse Practitioner - Pediatrics |
Location | 155 East Woodside Avenue, Patchogue, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1790081107 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0200X | Nurse Practitioner - Pediatrics | F382155-1 (New York) | Primary |
Entity Name | Boston Children's Health Physicians Llp |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467454967 PECOS PAC ID: 8325937014 Enrollment ID: O20040311000864 |
Entity Name | Prohealth Care Associates Llp |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275596280 PECOS PAC ID: 4486544186 Enrollment ID: O20040317000468 |
Mailing Address | Practice Location Address |
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Theresa Vertullo, PNP 155 E Woodside Ave, Patchogue, NY 11772-1423 Ph: (631) 375-8486 | Theresa Vertullo, PNP 155 East Woodside Avenue, Patchogue, NY 11772 Ph: (631) 758-6565 |
Linda Belber, ANP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 68 Washington Ave, Patchogue, NY 11772 Phone: 631-269-5800 | |
Bernice Bouzy, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 365 E Main St, Patchogue, NY 11772 Phone: 631-866-2030 | |
Robert Jake Stone, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 152 N Ocean Ave, Patchogue, NY 11772 Phone: 631-913-8329 | |
Marie Christine Didonato, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 122 W Roe Blvd, Patchogue, NY 11772 Phone: 516-728-4945 | |
Debra Tesoriero, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 155 E Woodside Ave, Patchogue, NY 11772 Phone: 631-758-6565 Fax: 631-758-6568 | |
Ms. Lisa Michelle Hodge-scelsa, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 77 Medford Ave, Route 112, Patchogue, NY 11772 Phone: 631-758-4444 Fax: 631-758-1984 | |
Mrs. Linda Joan Aumock, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 365 East Main St, Patchogue, NY 11772 Phone: 631-744-2813 |