| Blair Allison Mailloux, RN | |
| 
					49 State Rd, North Dartmouth, MA 02747-3322  | |
| (508) 973-9240 | |
| (508) 973-0306 | 
| Full Name | Blair Allison Mailloux | 
|---|---|
| Gender | Female | 
| Speciality | Registered Nurse | 
| Location | 49 State Rd, North Dartmouth, Massachusetts | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1730888009 | NPI | - | NPPES | 
| RN2333066 | Other | MA | RN | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LP0200X | Nurse Practitioner - Pediatrics | RN2333066 (Massachusetts) | Secondary | 
| 163W00000X | Registered Nurse | RN2333066 (Massachusetts) | Primary | 
| Entity Name | Southcoast Physicians Group Inc | 
|---|---|
| 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 | 
|---|---|
| Blair Allison Mailloux, RN 200 Mill Rd, Fairhaven, MA 02719-5252 Ph: (508) 973-2000  | Blair Allison Mailloux, RN 49 State Rd, North Dartmouth, MA 02747-3322 Ph: (508) 973-9240  | 
Kuei-fu Ting, NP Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 49 State Rd, Watuppa Bldg. Suite 203, North Dartmouth, MA 02747 Phone: 508-994-0120 Fax: 508-996-9636  | |
Shavanese Natasha Sommerville,  Registered Nurse Medicare: Medicare Enrolled Practice Location: 581 Faunce Corner Rd, North Dartmouth, MA 02747 Phone: 508-207-5800  | |
Cara C Sypher-sieger,  Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 88 Faunce Corner Rd, North Dartmouth, MA 02747 Phone: 508-993-3009  | |
Andrea Lynn Pickup-simonin, MSN, FNP-C Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 500 Faunce Corner Rd, North Dartmouth, MA 02747 Phone: 508-973-2216  | |
Ms. Carol Della Newell, CRNA Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 49 State Rd, North Dartmouth, MA 02747 Phone: 508-996-3997  | |
Mrs. Julie L Przybyszewski, NP Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 49 State Road, Nauset Bldg, Southcoast Physician Services, Inc., North Dartmouth, MA 02747 Phone: 508-991-2255 Fax: 508-999-0387  |