E Majema Massenburg-corry, NP is a
Nurse Practitioner physician based in Providence, Rhode Island. E Majema Massenburg-corry is licensed to practice in Rhode Island (license number NPP21164) and her current practice location is 593 Eddy Street, Providence, Rhode Island. She can be reached at her office (for appointments etc.) via phone at
(401) 519-1604.
NPI number for E Majema Massenburg-corry is 1427156801 and her current mailing address is Po Box 9484, Providence, Rhode Island. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1427156801.
Physician's Profile
| Full Name | E Majema Massenburg-corry |
|---|
| Gender | Female |
|---|
| Speciality | Nurse Practitioner |
|---|
| Location | 593 Eddy Street, Providence, Rhode Island |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1427156801
- Provider Enumeration Date: 09/20/2006
- Last Update Date: 08/30/2011
Medical Identifiers
Medical identifiers for E Majema Massenburg-corry such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1427156801 | NPI | - | NPPES |
| 05012011 | Other | RI | BCBSRI |
| 05012011 | Other | RI | UNITED HEALTHCARE |
| 06282011 | Other | RI | TRICARE |
| 939025129 | Other | RI | RI MEDICARE GROUP |
| 110088777A | Medicaid | MA | |
| 0070086901 | Other | RI | RI MEDICARE |
| 05-05-2011 | Other | RI | NHPRI |
| EM07495 | Medicaid | RI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | NPP21164 (Rhode Island) | Secondary |
| 363L00000X | Nurse Practitioner | NPP21164 (Rhode Island) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. E Majema Massenburg-corry is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
E Majema Massenburg-corry, NP
Po Box 9484,
Providence, RI 02940-9484
Ph: (401) 854-2500 | E Majema Massenburg-corry, NP
593 Eddy Street,
Providence, RI 02903-4923
Ph: (401) 519-1604 |
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