| Holly Berthod, APRN | |
|
99 Pascoag Main St, Pascoag, RI 02859-3103 | |
| (401) 744-3374 | |
| Not Available |
| Full Name | Holly Berthod |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 6 Years |
| Location | 99 Pascoag Main St, Pascoag, Rhode Island |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053903443 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LW0102X | Nurse Practitioner - Women's Health | APRN02465 (Rhode Island) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Women & Infants Hospital Of Rhode Island | Providence, RI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southern New England Healthcare For Women, Llc | 0042486649 | 27 |
| Entity Name | Southern New England Healthcare For Women, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699058826 PECOS PAC ID: 0042486649 Enrollment ID: O20120103000614 |
| Mailing Address | Practice Location Address |
|---|---|
| Holly Berthod, APRN 99 Pascoag Main St, Pascoag, RI 02859-3103 Ph: (401) 744-3374 | Holly Berthod, APRN 99 Pascoag Main St, Pascoag, RI 02859-3103 Ph: (401) 744-3374 |
Mr. Charles D Fraser, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 36 Bridge Way, Pascoag, RI 02859 Phone: 401-567-0800 Fax: 401-568-7949 | |
Elizabeth J Cockerline, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 36 Bridge Way, Pascoag, RI 02859 Phone: 401-567-0800 Fax: 401-568-7949 | |
Stephanie Pinto, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 36 Bridge Way, Pascoag, RI 02859 Phone: 401-567-0800 | |
Tina Marie Parker, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 36 Bridge Way, Pascoag, RI 02859 Phone: 401-567-0800 | |
Joan K Mullaney, RNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 36 Bridge Way, Pascoag, RI 02859 Phone: 401-567-0800 | |
Ms. Andrea Marcotte, NPP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 36 Bridge Way, Pascoag, RI 02859 Phone: 401-568-7661 Fax: 401-568-7949 |