| Mr Andrew Dalton Wilkes, NP | |
|
100 Hospital Rd Ste 2a, Leominster, MA 01453-2253 | |
| (978) 466-2692 | |
| Not Available |
| Full Name | Mr Andrew Dalton Wilkes |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Location | 100 Hospital Rd Ste 2a, Leominster, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134883903 | NPI | - | NPPES |
| RN2328128 | Other | MA | RN AND NP LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | RN2328128 (Massachusetts) | Primary |
| Entity Name | Mass Lung & Allergy Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679734545 PECOS PAC ID: 5698830347 Enrollment ID: O20090213000102 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Andrew Dalton Wilkes, NP 12 Stoddard Dr, Worcester, MA 01604-1331 Ph: (646) 369-2548 | Mr Andrew Dalton Wilkes, NP 100 Hospital Rd Ste 2a, Leominster, MA 01453-2253 Ph: (978) 466-2692 |
Susan Raymond Marcoulier, AGPCNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 87 N Main St, Leominster, MA 01453 Phone: 978-534-8701 | |
Karen E. Peterson, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 48 Nelson Street, Leominster, MA 01453 Phone: 978-466-4396 Fax: 978-466-4029 | |
Steven B Gutwillig, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 87 N Main St, Leominster, MA 01453 Phone: 978-534-8701 Fax: 978-534-8705 | |
Poliana Larissa Lin, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 100 Hospital Rd, Leominster, MA 01453 Phone: 978-466-4212 | |
Badu Adjei, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 40 Spruce St, Leominster, MA 01453 Phone: 978-534-6116 | |
Anna Pozharny, F.N.P Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 80 Erdman Way Ste 100, Leominster, MA 01453 Phone: 978-371-7010 | |
Lynne Monfreda, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 100 Hospital Rd, Suite 4, Leominster, MA 01453 Phone: 978-514-6300 Fax: 978-514-6324 |