| Peter Earle Cestodio, | |
| 
					198 Charlton Rd, Sturbridge, MA 01566-1571  | |
| (508) 765-1600 | |
| Not Available | 
| Full Name | Peter Earle Cestodio | 
|---|---|
| Gender | Male | 
| Speciality | Nurse Practitioner | 
| Location | 198 Charlton Rd, Sturbridge, Massachusetts | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1780373886 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363L00000X | Nurse Practitioner | RN2340032 (Massachusetts) | Primary | 
| Entity Name | Umass Memorial Medical Group Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1760445373 PECOS PAC ID: 4284539891 Enrollment ID: O20040113000267  | 
| Entity Name | John G Stagias Md Pc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1992913982 PECOS PAC ID: 7416041488 Enrollment ID: O20070921000024  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Peter Earle Cestodio, Po Box 415348, Boston, MA 02241-5348 Ph: (800) 225-8885  | Peter Earle Cestodio, 198 Charlton Rd, Sturbridge, MA 01566-1571 Ph: (508) 765-1600  | 
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: Medicare Enrolled Practice Location: 58 Main St, Sturbridge, MA 01566 Phone: 774-240-6869  | |
Samantha Elizabeth Donlon, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 198 Charlton Rd, Sturbridge, MA 01566 Phone: 508-347-7585  | |
Mrs. Martha G Charley, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: Southbridge Pain Clinic, 48 Main Street Suite 6, Sturbridge, MA 01566 Phone: 508-347-9111  | |
Ginny K Crosse, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 198 Charlton Rd, Sturbridge, MA 01566 Phone: 508-347-9240  |