| Mr Martin Innis Frazee Iii, NP | |
|
800 W Cummings Park Ste 1800, Woburn, MA 01801-6373 | |
| (617) 916-5069 | |
| (617) 467-4073 |
| Full Name | Mr Martin Innis Frazee Iii |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 2 Years |
| Location | 800 W Cummings Park Ste 1800, Woburn, Massachusetts |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548824089 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | RN2351899 (Massachusetts) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | RN2351899 (Massachusetts) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Square Medical Group Llc | 6608991187 | 17 |
| Entity Name | Square Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356515464 PECOS PAC ID: 6608991187 Enrollment ID: O20100921000924 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Martin Innis Frazee Iii, NP 800 W Cummings Park Ste 1800, Woburn, MA 01801-6373 Ph: (617) 916-5069 | Mr Martin Innis Frazee Iii, NP 800 W Cummings Park Ste 1800, Woburn, MA 01801-6373 Ph: (617) 916-5069 |
Rose Mushi, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 800 W Cummings Park Ste 4700, Woburn, MA 01801 Phone: 781-224-0611 Fax: 781-224-1993 | |
Mrs. Huong Nguyen Madrigal, RN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 155 New Boston St Ste U-168, Woburn, MA 01801 Phone: 781-941-6326 Fax: 781-987-8113 | |
Aviya Gerkin, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10i Roessler Rd, Woburn, MA 01801 Phone: 781-932-8114 | |
Debra Booth, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 800 W Cummings Park Ste 1800, Woburn, MA 01801 Phone: 617-916-5069 | |
Christina Maria O'connor, DNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7 Alfred St Ste 220, Woburn, MA 01801 Phone: 781-933-6236 | |
Ms. Carol Ann Cirone, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4 Fuller Farm Lane, Woburn, MA 01801 Phone: 781-939-5828 Fax: 781-939-5828 | |
Ms. Jeanette M Richardson, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 23 Warren Ave, Suite 100, Woburn, MA 01801 Phone: 781-933-1198 Fax: 781-729-7504 |