| Theresa Vertullo, PNP | |
| 155 East Woodside Avenue, Patchogue, NY 11772 | |
| (631) 758-6565 | |
| (631) 758-6568 | 
| Full Name | Theresa Vertullo | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Pediatrics | 
| Location | 155 East Woodside Avenue, Patchogue, New York | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1790081107 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LP0200X | Nurse Practitioner - Pediatrics | F382155-1 (New York) | Primary | 
| Entity Name | Boston Children's Health Physicians Llp | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1467454967 PECOS PAC ID: 8325937014 Enrollment ID: O20040311000864 | 
| Entity Name | Prohealth Care Associates Llp | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1275596280 PECOS PAC ID: 4486544186 Enrollment ID: O20040317000468 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Theresa Vertullo, PNP 155 E Woodside Ave, Patchogue, NY 11772-1423 Ph: (631) 375-8486 | Theresa Vertullo, PNP 155 East Woodside Avenue, Patchogue, NY 11772 Ph: (631) 758-6565 | 
| Linda Belber, ANP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 68 Washington Ave, Patchogue, NY 11772 Phone: 631-269-5800 | |
| Mrs. Ashley Reynolds, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 43 Rowland St, Patchogue, NY 11772 Phone: 631-578-8138 | |
| Bernice Bouzy,  Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 365 E Main St, Patchogue, NY 11772 Phone: 631-866-2030 | |
| Marie Christine Didonato, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 122 W Roe Blvd, Patchogue, NY 11772 Phone: 516-728-4945 | |
| Debra Tesoriero, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 155 E Woodside Ave, Patchogue, NY 11772 Phone: 631-758-6565 Fax: 631-758-6568 | |
| Ms. Lisa Michelle Hodge-scelsa, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 77 Medford Ave, Route 112, Patchogue, NY 11772 Phone: 631-758-4444 Fax: 631-758-1984 | |
| Mrs. Linda Joan Aumock, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 365 East Main St, Patchogue, NY 11772 Phone: 631-744-2813 |