| Ruth Prophete, MD | |
|
81 Hawthorn St # R, New Bedford, MA 02740-3429 | |
| (508) 961-2403 | |
| (508) 961-2406 |
| Full Name | Ruth Prophete |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 81 Hawthorn St # R, 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 |
|---|---|---|---|
| 1841274081 | NPI | - | NPPES |
| 0122416 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 206719 (Massachusetts) | Primary |
| Entity Name | Children's Hospital Pediatric Associates, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457306664 PECOS PAC ID: 3476541830 Enrollment ID: O20040504000964 |
| Mailing Address | Practice Location Address |
|---|---|
| Ruth Prophete, MD 81 Hawthorn St # R, New Bedford, MA 02740-3429 Ph: (508) 961-2403 | Ruth Prophete, MD 81 Hawthorn St # R, New Bedford, MA 02740-3429 Ph: (508) 961-2403 |
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 | |
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 | |
Brian F Groden, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 81 Hawthorn St # R, New Bedford, MA 02740 Phone: 508-961-2403 |