| Frew Fikru, NP | |
|
529 Washington Ave Apt 2, Revere, MA 02151-1962 | |
| (617) 230-0979 | |
| Not Available |
| Full Name | Frew Fikru |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 8 Years |
| Location | 529 Washington Ave Apt 2, Revere, 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 |
|---|---|---|---|
| 1093341331 | NPI | - | NPPES |
| AG11190002 | Medicaid | MA | |
| AG11190002 | Other | PROFESSIONAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP2300X | Nurse Practitioner - Primary Care | AG111190002 (Massachusetts) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ideal Healthcare Solutions Llc | 0042376899 | 8 |
| Entity Name | I Dhaliwal Md Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699944942 PECOS PAC ID: 3072698315 Enrollment ID: O20080311000117 |
| Entity Name | Ideal Healthcare Solutions Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033358536 PECOS PAC ID: 0042376899 Enrollment ID: O20090304000179 |
| Mailing Address | Practice Location Address |
|---|---|
| Frew Fikru, NP 529 Washington Ave Apt 2, Revere, MA 02151-1962 Ph: (617) 230-0979 | Frew Fikru, NP 529 Washington Ave Apt 2, Revere, MA 02151-1962 Ph: (617) 230-0979 |
Ms. Emily J Wilcox, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 300 Ocean Ave, Revere, MA 02151 Phone: 781-485-6000 | |
Emily Caruso Macintyre, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 300 Ocean Ave, Revere, MA 02151 Phone: 781-485-6024 | |
Mrs. Marianne Connelly, F.N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 385 Broadway Ste 4, Revere, MA 02151 Phone: 781-485-1000 Fax: 781-286-5418 | |
Ms. Janet Lynn Mozes, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 300 Broadway, Revere, MA 02151 Phone: 781-485-6429 Fax: 781-286-5418 | |
Ms. Samantha Rose Jankowski, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 225 Endicott Ave Apt 1, Revere, MA 02151 Phone: 508-233-3875 | |
Ms. Michele Theresa Mchugh, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 300 Ocean Ave, Revere, MA 02151 Phone: 781-485-6000 Fax: 781-485-6405 |