| Mrs Elisabeth Ann Fuller-haskell, NP | |
|
253 Pleasant Lake Ave, Harwich, MA 02645-2535 | |
| (508) 432-5233 | |
| (508) 430-0511 |
| Full Name | Mrs Elisabeth Ann Fuller-haskell |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 38 Years |
| Location | 253 Pleasant Lake Ave, Harwich, Massachusetts |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366525545 | NPI | - | NPPES |
| NP0055 | Other | BCBS | |
| NP 0055 | Other | MA | BCBS |
| UX3415 | Other | PTAN | |
| 0353761 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2200X | Nurse Practitioner - Adult Health | 160499 (Massachusetts) | Primary |
| 363LG0600X | Nurse Practitioner - Gerontology | 160499 (Massachusetts) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Cape Cod Healthcare | Hyannis, MA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Pleasant Lake Medical Center Llc | 1951741057 | 6 |
| Physiotherapy Associates Inc | 3577470442 | 1089 |
| Entity Name | Pleasant Lake Management Company Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578573689 PECOS PAC ID: 4284605684 Enrollment ID: O20100810000060 |
| Entity Name | Pleasant Lake Medical Center Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831879501 PECOS PAC ID: 1951741057 Enrollment ID: O20240506001497 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Elisabeth Ann Fuller-haskell, NP 253 Pleasant Lake Ave, Harwich, MA 02645-2535 Ph: (508) 432-5233 | Mrs Elisabeth Ann Fuller-haskell, NP 253 Pleasant Lake Ave, Harwich, MA 02645-2535 Ph: (508) 432-5233 |
Jacqueline Krzeminski, A.N.P Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 269 Chatham Rd, Harwich, MA 02645 Phone: 508-432-1400 Fax: 508-430-2333 | |
Elizabeth Grace O'grady, AGNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 56 Wilma Way, Harwich, MA 02645 Phone: 774-209-0777 | |
Jennifer R Bai, AGNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 525 Long Pond Dr, Harwich, MA 02645 Phone: 917-659-8300 | |
Josephine Catherine Whelan, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 525 Long Pond Drive, Harwich, MA 02645 Phone: 508-432-4100 Fax: 508-432-8951 | |
Patricia Ryan-blanchard, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 525 Long Pond Drive, Harwich, MA 02645 Phone: 508-432-4100 Fax: 508-432-8951 | |
John Besaw, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 525 Long Pond Drive, Harwich, MA 02645 Phone: 508-430-3322 |