| Lucia Roderique, | |
|
109 Montague St, Brooklyn, NY 11201-3437 | |
| (718) 400-8339 | |
| Not Available |
| Full Name | Lucia Roderique |
|---|---|
| Gender | Female |
| Speciality | Certified Nurse Midwife (cnm) |
| Experience | 4 Years |
| Location | 109 Montague St, Brooklyn, New York |
| 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 |
|---|---|---|---|
| 1245953595 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367A00000X | Advanced Practice Midwife | F002495-01 (New York) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Park Nicollet Clinic | 7911819438 | 1778 |
| Entity Name | Park Nicollet Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780621904 PECOS PAC ID: 7911819438 Enrollment ID: O20031104000046 |
| Entity Name | West Side Community Health Services, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821149964 PECOS PAC ID: 2062306434 Enrollment ID: O20040209000647 |
| Mailing Address | Practice Location Address |
|---|---|
| Lucia Roderique, 109 Montague St, Brooklyn, NY 11201-3437 Ph: Not Available | Lucia Roderique, 109 Montague St, Brooklyn, NY 11201-3437 Ph: (718) 400-8339 |
Annalee Reid, CM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 188 Throop Ave Ste 1r, Brooklyn, NY 11206 Phone: 347-395-4082 Fax: 347-892-3398 |
Donna Bernstein Racines, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 6317 4th Ave, Park Ridge Family Health Center, Brooklyn, NY 11220 Phone: 718-907-8100 Fax: 718-492-8614 |
Safiya Hassan, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 449 Nostrand Ave, Brooklyn, NY 11216 Phone: 347-529-2200 |
Ms. Maria Freytsis, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 760 Broadway, Woodhull Medical & Mental Health Center, Brooklyn, NY 11206 Phone: 718-963-8000 |
Ms. Xiaoning Wang, Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 846 55th St Fl 1, Brooklyn, NY 11220 Phone: 718-436-8060 |
Ms. Jessica Monroe Goldman, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 502a 9th Street, Brooklyn, NY 11215 Phone: 718-499-3636 Fax: 718-788-0596 |
Mrs. Meredith Anne Barish, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 450 Clarkson Ave, Brooklyn, NY 11203 Phone: 718-270-3390 Fax: 718-221-6369 |