| Joanne Theodate, FNP-C | |
|
759 Granite St, Braintree, MA 02184-5328 | |
| (000) 000-0001 | |
| Not Available |
| Full Name | Joanne Theodate |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 759 Granite St, Braintree, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831571561 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | RN2283583 (Massachusetts) | Primary |
| Entity Name | West Central Family & Counseling, Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801834205 PECOS PAC ID: 5991603607 Enrollment ID: O20040413000235 |
| Entity Name | Ajay Anand Md Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558403154 PECOS PAC ID: 3971591900 Enrollment ID: O20040506000176 |
| Entity Name | Minuteclinic Diagnostic Of Massachusetts, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457470858 PECOS PAC ID: 2264594944 Enrollment ID: O20081215000803 |
| Entity Name | Minuteclinic Diagnostic Of Massachusetts, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457470858 PECOS PAC ID: 2264594944 Enrollment ID: O20081216000739 |
| Entity Name | Charter Health Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750824124 PECOS PAC ID: 1153604079 Enrollment ID: O20170220000311 |
| Entity Name | Impact Health Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730694316 PECOS PAC ID: 0941562664 Enrollment ID: O20201203002217 |
| Mailing Address | Practice Location Address |
|---|---|
| Joanne Theodate, FNP-C 759 Granite St, Braintree, MA 02184-5328 Ph: () - | Joanne Theodate, FNP-C 759 Granite St, Braintree, MA 02184-5328 Ph: (000) 000-0001 |
Alona Rotkovitch, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 111 Grossman Dr, Braintree, MA 02184 Phone: 781-849-1000 | |
Mrs. Sheila Marcellus, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 150 Grossman Dr Ste 205, Braintree, MA 02184 Phone: 781-285-5767 Fax: 781-207-9658 | |
Cornelia Waring, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 759 Granite St, Braintree, MA 02184 Phone: 781-848-1950 | |
Marie-renee Darline Lucien-jean, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 252 Grove Street, Suite 301, Braintree, MA 02184 Phone: 617-212-0711 | |
Carol M Mcclendon, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 111 Grossman Dr, Braintree, MA 02184 Phone: 781-849-1000 | |
Allison Leikam, RN, MSN, AGPCNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5 Pleasant St, Braintree, MA 02184 Phone: 913-428-6986 | |
Rona Patricia Busse, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 400 Washington St, Braintree, MA 02184 Phone: 781-849-7330 Fax: 781-356-7599 |