| Sandra Menard, | |
|
45 Dan Rd Ste 140, Canton, MA 02021-2860 | |
| (508) 232-6963 | |
| (508) 297-8258 |
| Full Name | Sandra Menard |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 45 Dan Rd Ste 140, Canton, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902311301 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 255214 (Massachusetts) | Primary |
| Entity Name | Minuteclinic Diagnostic Of Massachusetts, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457470858 PECOS PAC ID: 2264594944 Enrollment ID: O20081215000803 |
| Entity Name | Minuteclinic Diagnostic Of Massachusetts, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457470858 PECOS PAC ID: 2264594944 Enrollment ID: O20081216000739 |
| Entity Name | Boston Senior Medicine |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740839208 PECOS PAC ID: 6103258959 Enrollment ID: O20191115001274 |
| Entity Name | Signify Health Medical Associates Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20200204002341 |
| Entity Name | Healthfair Plus Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376973461 PECOS PAC ID: 2365668720 Enrollment ID: O20211103001058 |
| Mailing Address | Practice Location Address |
|---|---|
| Sandra Menard, 45 Dan Rd Ste 140, Canton, MA 02021-2860 Ph: () - | Sandra Menard, 45 Dan Rd Ste 140, Canton, MA 02021-2860 Ph: (508) 232-6963 |
Jocelyne Destine Marcellus, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1017 Turnpike St Ste 32a, Canton, MA 02021 Phone: 781-236-7343 | |
Jessica Dias, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 45 Dan Rd, Canton, MA 02021 Phone: 781-867-2050 | |
Jeannie Simeus, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1017 Turnpike St Ste 32a, Canton, MA 02021 Phone: 781-236-7343 | |
John Leonard Goncalo, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 709 Washington St, Canton, MA 02021 Phone: 781-828-5351 | |
Michele Whitaker, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 275 Turnpike St Ste 206, Canton, MA 02021 Phone: 508-566-4032 | |
Ms. Charlene Charisse Hollins, FNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 715b Washington St, Canton, MA 02021 Phone: 978-222-0024 Fax: 617-582-2373 | |
Hannah Krafton, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 45 Dan Rd, Canton, MA 02021 Phone: 781-876-2040 |