| Jennifer Sullivan, | |
|
3703 Stearns Hill Rd, Waltham, MA 02451-7134 | |
| (617) 595-2739 | |
| Not Available |
| Full Name | Jennifer Sullivan |
|---|---|
| Gender | Female |
| Speciality | Registered Nurse |
| Location | 3703 Stearns Hill Rd, Waltham, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033778360 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | RN2328056 (Massachusetts) | Primary |
| Entity Name | Harvard Medical Faculty Phys At Beth Israel Deaconess Med Ctr Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093756629 PECOS PAC ID: 4486567104 Enrollment ID: O20040315000395 |
| Entity Name | Associated Physicians Of Harvard Medical Faculty Physicians At Beth Is |
|---|---|
| Entity Type | Part B Supplier - Hospital Department(s) |
| Entity Identifiers | NPI Number: 1245773308 PECOS PAC ID: 6305749987 Enrollment ID: O20170628003015 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Sullivan, 3703 Stearns Hill Rd, Waltham, MA 02451-7134 Ph: (617) 595-2739 | Jennifer Sullivan, 3703 Stearns Hill Rd, Waltham, MA 02451-7134 Ph: (617) 595-2739 |
Ms. Elizabeth O'keefe, RN, CPNP Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 40 2nd Ave, New England Diabetes & Endocrinology Ctr (nedec), #170, Waltham, MA 02451 Phone: 781-890-3610 Fax: 781-890-3612 | |
Ms. Jenna Lee Wessels, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 9 Hope Ave Ste 500, Waltham, MA 02453 Phone: 781-647-6700 Fax: 781-647-6752 | |
Mr. William Ssegujja, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 5 Bartont St, Apt 1, Waltham, MA 02453 Phone: 617-412-5972 | |
Daiana Cunha Almeida, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 431 River St, Waltham, MA 02453 Phone: 781-966-5679 | |
Mrs. Michelle Homer, R.N. Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 411 Waverley Oaks Rd, Suite 305, Waltham, MA 02452 Phone: 781-647-6564 | |
Marina Treglia, CNP Registered Nurse Medicare: Medicare Enrolled Practice Location: 85 1st Ave, Waltham, MA 02451 Phone: 781-647-7246 |