| Dorothy A Wisdom, NP | |
|
830 Harrison Avenue, Moakley, 3rd Floor, Boston, MA 02118-2905 | |
| (617) 638-6428 | |
| (617) 638-5756 |
| Full Name | Dorothy A Wisdom |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 830 Harrison Avenue, Boston, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285890392 | NPI | - | NPPES |
| 110084053A | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | RN252656 (Massachusetts) | Primary |
| Entity Name | Evans Medical Foundation Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912954124 PECOS PAC ID: 7416946546 Enrollment ID: O20040512000397 |
| Entity Name | Norwell Visiting Nurse Association Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043398498 PECOS PAC ID: 1658309851 Enrollment ID: O20050729000103 |
| Mailing Address | Practice Location Address |
|---|---|
| Dorothy A Wisdom, NP 960 Massachusetts Ave Ste 2, Boston, MA 02118-2690 Ph: () - | Dorothy A Wisdom, NP 830 Harrison Avenue, Moakley, 3rd Floor, Boston, MA 02118-2905 Ph: (617) 638-6428 |
Kristen Cahill, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 600 Washington St, Boston, MA 02111 Phone: 508-685-8452 | |
Mrs. Patricia Noreen Finneran, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 15 Parkman St, Wac 440, Boston, MA 02114 Phone: 617-643-4709 | |
Mr. Courtney Sullivan Fratto, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 300 Longwood Ave, Hunnewell Building 322, Boston, MA 02115 Phone: 857-218-4085 | |
Ms. Kelly Elisha Trecartin, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 55 Fruit St, Bigalow 852 F, Boston, MA 02114 Phone: 617-726-7400 Fax: 617-726-4149 | |
Mrs. Melissa Ashley Ziogas, APRN-FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 133 Brookline Ave, Boston, MA 02215 Phone: 617-421-1000 | |
Jamie Marie Allen, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 55 Fruit St, Boston, MA 02114 Phone: 617-724-4410 | |
Tyler Breck Martin, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 725 Albany St, Shapiro 3, Suite A, Boston, MA 02118 Phone: 617-414-4886 Fax: 617-414-3617 |