| Brent Medeiros, | |
|
1030 President Ave Rm 304, Fall River, MA 02720-5923 | |
| (508) 235-6427 | |
| (508) 235-6654 |
| Full Name | Brent Medeiros |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 5 Years |
| Location | 1030 President Ave Rm 304, Fall River, Massachusetts |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598362311 | NPI | - | NPPES |
| APRN02417 | Other | RI | APRN LICENSE |
| RN2293550 | Other | MA | APRN LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | APRN02417 (Rhode Island) | Secondary |
| 363L00000X | Nurse Practitioner | RN2293550 (Massachusetts) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Southcoast Hospitals Group | Fall river, MA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southcoast Physicians Group Inc | 0749171957 | 789 |
| 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 |
| Entity Name | Fall River Nephrology Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407064348 PECOS PAC ID: 1850465022 Enrollment ID: O20080806000291 |
| Entity Name | Sturdy Health Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063866176 PECOS PAC ID: 9537152806 Enrollment ID: O20160811001583 |
| Mailing Address | Practice Location Address |
|---|---|
| Brent Medeiros, 226 Beckwith St, Cranston, RI 02910-1851 Ph: () - | Brent Medeiros, 1030 President Ave Rm 304, Fall River, MA 02720-5923 Ph: (508) 235-6427 |
Erin E Dacey, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 363 Highland Ave, Fall River, MA 02720 Phone: 508-973-5918 Fax: 508-973-5916 | |
Katherine E Serra, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 386 Stanley St, Fall River, MA 02720 Phone: 508-679-5222 Fax: 508-673-3182 | |
Matthew Paul Bock, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 386 Stanley St, Fall River, MA 02720 Phone: 508-679-5222 Fax: 508-673-3182 | |
Alicia Larock, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 363 Highland Ave, Fall River, MA 02720 Phone: 508-679-3131 | |
Jessica Lynn Shippee, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 363 Highland Ave, Fall River, MA 02720 Phone: 508-973-7109 Fax: 508-973-7149 | |
Maxine Dube, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 400 Stanley St, Fall River, MA 02720 Phone: 508-675-1054 Fax: 508-324-7777 | |
Matthew Braga, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 795 Middle St, Fall River, MA 02721 Phone: 508-674-5600 |