| Samantha Nortelus, | |
|
110 W Squantum St, North Quincy, MA 02171-2122 | |
| (617) 376-3000 | |
| Not Available |
| Full Name | Samantha Nortelus |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Women's Health |
| Location | 110 W Squantum St, North Quincy, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356176481 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LW0102X | Nurse Practitioner - Women's Health | RN2379841 (Massachusetts) | Primary |
| 163W00000X | Registered Nurse | RN2379841 (Massachusetts) | Secondary |
| Entity Name | Manet Community Health Center, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114027539 PECOS PAC ID: 4486555158 Enrollment ID: O20040115000950 |
| Mailing Address | Practice Location Address |
|---|---|
| Samantha Nortelus, 110 W Squantum St, North Quincy, MA 02171-2122 Ph: (617) 376-3000 | Samantha Nortelus, 110 W Squantum St, North Quincy, MA 02171-2122 Ph: (617) 376-3000 |
Ms. Tamar E Siracusa, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 110 W Squantum St, North Quincy, MA 02171 Phone: 617-376-3000 Fax: 617-774-1905 | |
Ms. Iris C Wong, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 110 W Squantum St, North Quincy, MA 02171 Phone: 617-376-3000 Fax: 617-376-3024 | |
Mr. Ken Goon, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 273 Billings St, North Quincy, MA 02171 Phone: 617-686-3746 | |
Cheryl Ann Bliss, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 110 W Squantum St, North Quincy, MA 02171 Phone: 617-376-3000 Fax: 617-690-6902 | |
Murielle Pierre-joachim, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 110 W Squantum St, North Quincy, MA 02171 Phone: 617-404-4117 | |
Mrs. Imane Ouahidi, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 110 W Squantum St, North Quincy, MA 02171 Phone: 617-376-3000 |