| Ms Brandy Ault Petersen, RN, MSN, ANP | |
|
180 George Washington Blvd, Hull, MA 02045-3069 | |
| (617) 376-3000 | |
| (617) 774-1906 |
| Full Name | Ms Brandy Ault Petersen |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 19 Years |
| Location | 180 George Washington Blvd, Hull, 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 |
|---|---|---|---|
| 1194904532 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2200X | Nurse Practitioner - Adult Health | 262850 (Massachusetts) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| South Shore Visiting Nurse Association | Rockland, MA | Home health agency |
| Nvna And Hospice | Norwell, MA | Home health agency |
| South Shore Hospital | South weymouth, MA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| South Shore Medical Center, Inc. | 3678487444 | 160 |
| Select Rehabilitation Llc | 9032020490 | 1538 |
| Entity Name | South Shore Medical Center, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669411856 PECOS PAC ID: 3678487444 Enrollment ID: O20040413000332 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Brandy Ault Petersen, RN, MSN, ANP 110 W Squantum St, North Quincy, MA 02171-2122 Ph: (617) 376-3000 | Ms Brandy Ault Petersen, RN, MSN, ANP 180 George Washington Blvd, Hull, MA 02045-3069 Ph: (617) 376-3000 |
Ms. Emily Bridget Eckner, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1159 Nantasket Ave, Hull, MA 02045 Phone: 617-615-7462 | |
Rebecca Jean Barry, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 175 George Washington Blvd, Hull Teen & Womens Health, Hull, MA 02045 Phone: 781-925-0671 Fax: 781-925-8986 |