| Julie Ditata, AGNP-C | |
| 235 Hanover St, Fall River, MA 02720-5246 | |
| (508) 973-1021 | |
| (508) 973-9185 | 
| Full Name | Julie Ditata | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner | 
| Location | 235 Hanover St, Fall River, Massachusetts | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1689245276 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363L00000X | Nurse Practitioner | RN2289149 (Massachusetts) | Primary | 
| Entity Name | Southcoast Physicians Group Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1336137629 PECOS PAC ID: 0749171957 Enrollment ID: O20040920000138 | 
| Entity Name | Signify Health Medical Associates Pllc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20200204002341 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Julie Ditata, AGNP-C 200 Mill Rd Ste 180, Fairhaven, MA 02719-5255 Ph: (508) 973-2000 | Julie Ditata, AGNP-C 235 Hanover St, Fall River, MA 02720-5246 Ph: (508) 973-1021 | 
| Erin E Dacey, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 363 Highland Ave, Fall River, MA 02720 Phone: 508-973-5918 Fax: 508-973-5916 | |
| Katherine E Serra, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 386 Stanley St, Fall River, MA 02720 Phone: 508-679-5222 Fax: 508-673-3182 | |
| Matthew Paul Bock, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 386 Stanley St, Fall River, MA 02720 Phone: 508-679-5222 Fax: 508-673-3182 | |
| Alicia Larock, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 363 Highland Ave, Fall River, MA 02720 Phone: 508-679-3131 | |
| Jessica Lynn Shippee,  Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 363 Highland Ave, Fall River, MA 02720 Phone: 508-973-7109 Fax: 508-973-7149 | |
| Maxine Dube, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 400 Stanley St, Fall River, MA 02720 Phone: 508-675-1054 Fax: 508-324-7777 | |
| Matthew Braga, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 795 Middle St, Fall River, MA 02721 Phone: 508-674-5600 |