| Mary Ellen Ryan, NP | |
|
20 Wall St, Burlington, MA 01803-4758 | |
| (617) 774-0774 | |
| Not Available |
| Full Name | Mary Ellen Ryan |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Pediatrics |
| Location | 20 Wall St, Burlington, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679752208 | NPI | - | NPPES |
| 30340376 | Medicaid | NH | |
| 23YP02412NH01 | Other | ANTHEM | |
| 281670099 | Medicaid | ME |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0200X | Nurse Practitioner - Pediatrics | RN178290 (Massachusetts) | Secondary |
| 363LP0200X | Nurse Practitioner - Pediatrics | 042924-23-02 (New Hampshire) | Primary |
| Entity Name | Amoskeag Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083617013 PECOS PAC ID: 8527038421 Enrollment ID: O20040728001071 |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Ellen Ryan, NP 13 Tansy Ave, Stratham, NH 03885-2289 Ph: (603) 682-6260 | Mary Ellen Ryan, NP 20 Wall St, Burlington, MA 01803-4758 Ph: (617) 774-0774 |
Mr. Joshua Bryan Dunn, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 41 Mall Road, Burlington, MA 01805 Phone: 781-744-8000 | |
Marlene A Brady, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 20 Wall St, Burlington, MA 01803 Phone: 781-221-2600 Fax: 781-221-2510 | |
Thais Bitencourt Roberts, AGNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 41 Mall Rd, Burlington, MA 01805 Phone: 781-744-8000 | |
Deirdre Johanna Burke, NP, MPH Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 101 Cambridge St Ste 380, Burlington, MA 01803 Phone: 781-653-4281 | |
Corinne Prigo, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 41 Mall Rd, Burlington, MA 01805 Phone: 781-744-8000 | |
Kayleigh Cavender, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 41 Burlington Mall Road, Burlington, MA 01805 Phone: 781-744-5100 | |
Nicole Annette Clarke Jagodowski, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 20 Wall St, Burlington, MA 01803 Phone: 781-221-2800 |