Amaka Ofonagoro, | |
27 Randolph St, Canton, MA 02021-2324 | |
(617) 888-9097 | |
Not Available |
Full Name | Amaka Ofonagoro |
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Gender | Female |
Speciality | Nurse Practitioner |
Location | 27 Randolph St, Canton, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700665932 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | RN2269069 (Massachusetts) | Primary |
Entity Name | Bay Healthcare Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659097483 PECOS PAC ID: 4880063726 Enrollment ID: O20221215000614 |
Mailing Address | Practice Location Address |
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Amaka Ofonagoro, 27 Randolph St, Canton, MA 02021-2324 Ph: () - | Amaka Ofonagoro, 27 Randolph St, Canton, MA 02021-2324 Ph: (617) 888-9097 |
Julliet Nassuuna, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1017 Turnpike St Ste 32a, Canton, MA 02021 Phone: 781-236-7343 | |
Jocelyne Destine Marcellus, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1017 Turnpike St Ste 32a, Canton, MA 02021 Phone: 781-236-7343 | |
Jessica Dias, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 45 Dan Rd, Canton, MA 02021 Phone: 781-867-2050 | |
Jeannie Simeus, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1017 Turnpike St Ste 32a, Canton, MA 02021 Phone: 781-236-7343 | |
John Leonard Goncalo, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 709 Washington St, Canton, MA 02021 Phone: 781-828-5351 | |
Michele Whitaker, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 275 Turnpike St Ste 206, Canton, MA 02021 Phone: 508-566-4032 | |
Ms. Charlene Charisse Hollins, FNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 715b Washington St, Canton, MA 02021 Phone: 978-222-0024 Fax: 617-582-2373 |