| 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 |
| Experience | 3 Years |
| Location | 198 Charlton Rd, Sturbridge, Massachusetts |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780373886 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | RN2340032 (Massachusetts) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Harrington Memorial Hospital-1 | Southbridge, MA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Umass Memorial Medical Group Inc | 4284539891 | 2096 |
| John G Stagias Md Pc | 7416041488 | 2 |
| 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: Medicare Enrolled 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 | |
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: May Accept Medicare Assignments Practice Location: 198 Charlton Rd, Sturbridge, MA 01566 Phone: 508-347-9240 |