| Mrs Martha G Charley, FNP | |
|
Southbridge Pain Clinic, 48 Main Street Suite 6, Sturbridge, MA 01566 | |
| (508) 347-9111 | |
| Not Available |
| Full Name | Mrs Martha G Charley |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 10 Years |
| Location | Southbridge Pain Clinic, Sturbridge, Massachusetts |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609368919 | NPI | - | NPPES |
| 110197544A | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | APRN01800 (Rhode Island) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | RN213217 (Massachusetts) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Boston Medical Center | Boston, MA | Hospital |
| Entity Name | Codman Square Health Center, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396808309 PECOS PAC ID: 8123013869 Enrollment ID: O20040420000859 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Martha G Charley, FNP 637 Washington St, Dorchester, MA 02124-3510 Ph: (617) 825-9660 | Mrs Martha G Charley, FNP Southbridge Pain Clinic, 48 Main Street Suite 6, Sturbridge, MA 01566 Ph: (508) 347-9111 |
Jessica Locke, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 198 Charlton Rd, Sturbridge, MA 01566 Phone: 508-347-7585 | |
Jackyline N Kikoyo, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 58 Main St, Sturbridge, MA 01566 Phone: 774-240-6869 | |
Samantha Elizabeth Donlon, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 198 Charlton Rd, Sturbridge, MA 01566 Phone: 508-347-7585 | |
Peter Earle Cestodio, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 198 Charlton Rd, Sturbridge, MA 01566 Phone: 508-765-1600 | |
Ginny K Crosse, NP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 198 Charlton Rd, Sturbridge, MA 01566 Phone: 508-347-9240 |