| Molly Lacher-katz, | |
|
593 Eddy St, Claverick 2, Providence, RI 02903-4923 | |
| (401) 444-4900 | |
| Not Available |
| Full Name | Molly Lacher-katz |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Pediatrics |
| Location | 593 Eddy St, Providence, Rhode Island |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740604701 | NPI | - | NPPES |
| U400156204 | Other | RI | MEDICARE-NGS |
| ML97098 | Medicaid | RI | |
| 110100689A | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0200X | Nurse Practitioner - Pediatrics | APRN00594 (Rhode Island) | Primary |
| 363LP0200X | Nurse Practitioner - Pediatrics | CAPRN00594 (Rhode Island) | Secondary |
| Entity Name | Brown Emergency Medicine |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962455022 PECOS PAC ID: 7214833169 Enrollment ID: O20040116000868 |
| Entity Name | Lifespan Physician Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407116643 PECOS PAC ID: 2567455082 Enrollment ID: O20121029000368 |
| Mailing Address | Practice Location Address |
|---|---|
| Molly Lacher-katz, 146 Cypress St, Apt B, Providence, RI 02906-2508 Ph: (401) 529-6045 | Molly Lacher-katz, 593 Eddy St, Claverick 2, Providence, RI 02903-4923 Ph: (401) 444-4900 |
Mrs. Halina Kuc-mazgaj, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 164 Summit Ave, The Miriam Hospital, Providence, RI 02906 Phone: 401-793-3902 |
Nnemeka A Okpala, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10 Dorrance St Ste 700, Providence, RI 02903 Phone: 617-419-0482 |
Phina A Mayu, NP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 534 Angell Street, 2nd Floor, Providence, RI 02906 Phone: 401-384-7971 Fax: 401-340-1499 |
Beverly Casinelli, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 765 Allens Ave, Providence, RI 02905 Phone: 401-606-4150 |
Kristen Ann Chapian, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 195 Collyer St Ste 302, Providence, RI 02904 Phone: 401-793-5708 Fax: 401-793-5171 |
Elizabeth Moore Medbury, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 830 Chalkstone Ave, Providence, RI 02908 Phone: 401-273-7011 |
Korrinne Ivey, WHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 175 Broad St, Providence, RI 02903 Phone: 513-653-0904 |