| Laura Liedle, | |
|
16 Gould Ave Unit 1, Malden, MA 02148-6913 | |
| (858) 245-5987 | |
| Not Available |
| Full Name | Laura Liedle |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 16 Gould Ave Unit 1, Malden, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689373326 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
| Entity Name | Pacific Emergency Providers a Prof Corp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497790539 PECOS PAC ID: 1557327608 Enrollment ID: O20041209000658 |
| Mailing Address | Practice Location Address |
|---|---|
| Laura Liedle, 136 Harrison Ave # M&v510, Boston, MA 02111-1817 Ph: Not Available | Laura Liedle, 16 Gould Ave Unit 1, Malden, MA 02148-6913 Ph: (858) 245-5987 |
Scott Pladel, PA-C Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 405 Pearl St, Malden, MA 02148 Phone: 781-665-9500 Fax: 781-665-3856 |
Rosemary C Waterman, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 380 Pleasant St, Suite 13, Malden, MA 02148 Phone: 781-322-3005 Fax: 781-322-1394 |
Sonnly Ribourg, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 195 Canal St, Malden, MA 02148 Phone: 781-338-0500 |
Alexandra M Dressen, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 195 Canal St, Malden, MA 02148 Phone: 781-338-0500 |
Jean Rene Pierre Louis, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 54 Durso Ave, Malden, MA 02148 Phone: 954-708-5866 Fax: 954-708-5866 |
Brittany Pierce, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 195 Canal St, Malden, MA 02148 Phone: 781-338-0500 |
Dr. Freud Joseph Louimarre, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 33 Holyoke St, Malden, MA 02148 Phone: 339-545-6273 |