| Faustina Odoi, RN | |
|
47 Wilbur St, Worcester, MA 01606-1067 | |
| (774) 823-2296 | |
| Not Available |
| Full Name | Faustina Odoi |
|---|---|
| Gender | Female |
| Speciality | Registered Nurse - Psychiatric/mental Health |
| Location | 47 Wilbur St, Worcester, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033984562 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163WP0808X | Registered Nurse - Psychiatric/mental Health | RN233701 (Massachusetts) | Primary |
| Entity Name | Supportive Behavioral Care Of Ma Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780115519 PECOS PAC ID: 8628346731 Enrollment ID: O20170614000877 |
| Mailing Address | Practice Location Address |
|---|---|
| Faustina Odoi, RN 47 Wilbur St, Worcester, MA 01606-1067 Ph: (774) 823-2296 | Faustina Odoi, RN 47 Wilbur St, Worcester, MA 01606-1067 Ph: (774) 823-2296 |
Lucy W Wilson, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 781 Salisbury St, Worcester, MA 01609 Phone: 508-753-8402 Fax: 508-363-0885 | |
Anne Walton, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 19 Tacoma St, Worcester, MA 01605 Phone: 508-852-1805 Fax: 508-852-3248 | |
Stefania M Peralta, RN Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 19 Tacoma St, Worcester, MA 01605 Phone: 508-852-1805 | |
Miss Darlene Sejour, APRN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 9 Cherry Blossom Cir, Worcester, MA 01605 Phone: 774-239-7719 | |
Dr. Kenney Kairu, DNP,MBA Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 101 Pleasant St Ste 209, Worcester, MA 01609 Phone: 774-420-8144 | |
Bethany Irish, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 19 Tacoma St, Worcester, MA 01605 Phone: 508-852-1805 | |
Samantha Williams, FNP-BC Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 55 Lake Ave N, Worcester, MA 01655 Phone: 508-421-1400 Fax: 508-421-1490 |