Mrs Melissa A Ernst Brenot, | |
860 Route 134 Ste 8, South Dennis, MA 02660-2577 | |
(508) 394-2211 | |
(508) 398-4471 |
Full Name | Mrs Melissa A Ernst Brenot |
---|---|
Gender | Female |
Speciality | Optometrist |
Location | 860 Route 134 Ste 8, South Dennis, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245266998 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 0662 (New Hampshire) | Secondary |
152W00000X | Optometrist | OPT5720 (Massachusetts) | Primary |
Provider Name | Carlos Manrique De Lara Mdpa |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1770558447 PECOS PAC ID: 2466435540 Enrollment ID: O20040610000078 |
Mailing Address | Practice Location Address |
---|---|
Mrs Melissa A Ernst Brenot, 860 Route 134 Ste 8, South Dennis, MA 02660-2577 Ph: (508) 394-2211 | Mrs Melissa A Ernst Brenot, 860 Route 134 Ste 8, South Dennis, MA 02660-2577 Ph: (508) 394-2211 |
Frank D. Puzio, O.d. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 38 Route 134, South Dennis, MA 02660 Phone: 508-394-2211 Fax: 508-398-4471 | |
Dr. Marianna Kong, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 38 Route 134, South Dennis, MA 02660 Phone: 508-394-2211 | |
Elizabeth T Potvin, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 860 Route 134 Ste 8, South Dennis, MA 02660 Phone: 508-394-2211 Fax: 508-398-4471 | |
Nicole M Sopp, OD Optometrist Medicare: Medicare Enrolled Practice Location: 38 Route 134, South Dennis, MA 02660 Phone: 150-839-4221 Fax: 508-398-4471 | |
Dr. Frank D Puzio, O.D., F.A.A.O. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 38 Route 134, South Dennis, MA 02660 Phone: 508-394-2211 Fax: 508-398-4471 | |
Mr. Matthew S Puzio, O.D Optometrist Medicare: Accepting Medicare Assignments Practice Location: 38 Route 134, South Dennis, MA 02660 Phone: 508-394-2211 |