Trista Brittany Phaneuf, CNM | |
131 Old Road To 9 Acre Cor, John Cuming Building Suite 830, Concord, MA 01742-4181 | |
(978) 371-1396 | |
(978) 371-8277 |
Full Name | Trista Brittany Phaneuf |
---|---|
Gender | Female |
Speciality | Advanced Practice Midwife |
Location | 131 Old Road To 9 Acre Cor, Concord, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1942580261 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367A00000X | Advanced Practice Midwife | 276591 (Massachusetts) | Primary |
Entity Name | Reliant Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720017528 PECOS PAC ID: 5597755322 Enrollment ID: O20040708000650 |
Entity Name | Saint Vincent Physician Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013997329 PECOS PAC ID: 8921056276 Enrollment ID: O20050104000566 |
Entity Name | Obhg Massachusetts - Direct Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487229035 PECOS PAC ID: 1456752609 Enrollment ID: O20210625001903 |
Mailing Address | Practice Location Address |
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Trista Brittany Phaneuf, CNM 131 Old Road To 9 Acre Cor, John Cuming Building Suite 830, Concord, MA 01742-4181 Ph: (978) 371-1396 | Trista Brittany Phaneuf, CNM 131 Old Road To 9 Acre Cor, John Cuming Building Suite 830, Concord, MA 01742-4181 Ph: (978) 371-1396 |
Joanna Bickford Couvillon, MSN, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 59 Old Road To 9 Acre Cor, Concord, MA 01742 Phone: 978-369-7627 | |
Katelyn A Richer, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 59 Ornac, Concord, MA 01742 Phone: 978-369-7627 | |
Lauren S. Carratu, Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 131 Ornac Ste 830, Concord, MA 01742 Phone: 978-371-1396 | |
Krystina Monique San Soucie, CNM, WHNP-BC Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 131 Old Road To 9 Acre Cor, Concord, MA 01742 Phone: 978-371-1396 | |
Mrs. Sherriann Perivolotis, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 133 Old Road To 9 Acre Cor, John Cuming Building Suite 830, Concord, MA 01742 Phone: 978-371-1396 Fax: 978-371-8277 |