| Mrs Susan H Roderick, CFNP | |
|
49 Harry Kemp Way, Outer Cape Health, Provincetown, MA 02657-1618 | |
| (508) 487-9395 | |
| (508) 487-3285 |
| Full Name | Mrs Susan H Roderick |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 49 Harry Kemp Way, Provincetown, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518022045 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | MA113351 (Massachusetts) | Primary |
| 363LP0200X | Nurse Practitioner - Pediatrics | MA113351 (Massachusetts) | Secondary |
| Entity Name | Outer Cape Health Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841384013 PECOS PAC ID: 4385554971 Enrollment ID: O20050407000226 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Susan H Roderick, CFNP Po Box 1413, Wellfleet, MA 02667 Ph: (508) 240-0208 | Mrs Susan H Roderick, CFNP 49 Harry Kemp Way, Outer Cape Health, Provincetown, MA 02657-1618 Ph: (508) 487-9395 |
Maria Coyne, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 49 Harry Kemp Way, Provincetown, MA 02657 Phone: 508-487-9395 | |
Maryanne O'toole, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 49 Harry Kemp Way, Provincetown, MA 02657 Phone: 508-487-9395 Fax: 508-487-3285 | |
Michael Domenic Defabrizio, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 49 Harry Kemp Way, Provincetown, MA 02657 Phone: 508-487-9395 Fax: 508-487-6298 | |
Christy Braga De Lima, REGISTERED NURSE Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 49 Harry Kemp Way, Provincetown, MA 02657 Phone: 508-487-9395 Fax: 508-487-6298 | |
Dr. Thomas Jude Mcquaid, DNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 286a Bradford St Unit 9, Provincetown, MA 02657 Phone: 917-566-3554 Fax: 203-274-6713 | |
Mr. Frank D. Bellistri, NP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 26 Court St Unit 4, Provincetown, MA 02657 Phone: 508-444-9966 Fax: 617-245-4619 |