Dr Kristen M Prescott, MD, IBCLC, FAAP | |
874 Purchase St, New Bedford, MA 02740-6232 | |
(508) 992-6553 | |
(508) 990-7558 |
Full Name | Dr Kristen M Prescott |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 874 Purchase St, New Bedford, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1881640878 | NPI | - | NPPES |
01YP02463NH02 | Other | NH | ANTHEM |
30200835 | Medicaid | NH | |
17085 | Medicaid | ND |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 12361 (North Dakota) | Secondary |
208000000X | Pediatrics | 284305 (Massachusetts) | Primary |
Entity Name | Southcoast Physicians Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336137629 PECOS PAC ID: 0749171957 Enrollment ID: O20040920000138 |
Mailing Address | Practice Location Address |
---|---|
Dr Kristen M Prescott, MD, IBCLC, FAAP 874 Purchase St, New Bedford, MA 02740-6232 Ph: (508) 992-6553 | Dr Kristen M Prescott, MD, IBCLC, FAAP 874 Purchase St, New Bedford, MA 02740-6232 Ph: (508) 992-6553 |
Vivian E Esswein, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 874 Purchase St, New Bedford, MA 02740 Phone: 508-992-6553 Fax: 508-990-7558 | |
Kveta Vojkovska, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 225 Field St, New Bedford, MA 02740 Phone: 508-910-3371 | |
Mrs. Lori Lee Georgeson, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 874 Purchase St, New Bedford, MA 02740 Phone: 508-992-6553 Fax: 508-984-8420 | |
Heather Goddard, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 874 Purchase St, New Bedford, MA 02740 Phone: 508-992-6553 Fax: 508-997-2498 | |
Olivia G Herndon, FNP Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 225 Field St, New Bedford, MA 02740 Phone: 508-999-2981 Fax: 508-910-3395 | |
Amelia Elizabeth Monteiro, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 874 Purchase St, New Bedford, MA 02740 Phone: 508-992-6553 | |
Preeti Sharma, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 874 Purchase St, New Bedford, MA 02740 Phone: 508-992-6553 Fax: 508-984-8420 |