| Michelle A Moynihan, | |
| 
					285 Old Westport Rd, Dartmouth, MA 02747-2356  | |
| (508) 999-8982 | |
| Not Available | 
| Full Name | Michelle A Moynihan | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Women's Health | 
| Location | 285 Old Westport Rd, Dartmouth, Massachusetts | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1316928427 | NPI | - | NPPES | 
| 0321290 | Medicaid | MA | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LW0102X | Nurse Practitioner - Women's Health | 187390 (Massachusetts) | Primary | 
| Entity Name | Citizens For Citizens Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1528252954 PECOS PAC ID: 9739403999 Enrollment ID: O20150116000041  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Michelle A Moynihan, 77 Warren Street, 3rd Fl, Provider Enrollment Dept, Brighton, MA 02135 Ph: (617) 562-5359  | Michelle A Moynihan, 285 Old Westport Rd, Dartmouth, MA 02747-2356 Ph: (508) 999-8982  | 
Melissa K Botelho, P.N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 531 Faunce Corner Rd, Dartmouth, MA 02747 Phone: 508-996-3991  | |
Kerri Jean Sullivan, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 516 Hawthorn St Ste 4, Dartmouth, MA 02747 Phone: 774-929-7420  | |
Melissa Clarke, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 531 Faunce Corner Rd, Dartmouth, MA 02747 Phone: 508-996-3991  | |
Karen Lynne Rezendes, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 531 Faunce Corner Rd, Dartmouth, MA 02747 Phone: 508-996-3991  | |
Jennifer Sadeck,  Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 535 Faunce Corner Rd, Dartmouth, MA 02747 Phone: 508-996-3991  | |
Tracy Beckman, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 480 Hawthorn St, Dartmouth, MA 02747 Phone: 508-973-9170 Fax: 508-973-9175  | |
Mrs. Madison Kendrick, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 237a State Rd, Dartmouth, MA 02747 Phone: 508-979-1100  |