Mark P Richard (NPI# 1053378646, PAC ID# 7315849056) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1053378646 |
| PAC ID by PECOS | 7315849056 |
| Professional Enrollment ID | I20040123000234 |
| Full Name | Mark P Richard |
| Organization Legal Name | DRX UC NEW BEDFORD PC |
| Address |
119 Coggeshall St New Bedford MA 02746-2443 |
| Phone Number | 5089901900 |
| Gender | M |
| Credential | NP |
| Graduation Year | 2000 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 5395061295 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 220020 | SAINT ANNE'S HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 119 Coggeshall St, New Bedford, MA 02746-2443 | 5089901900 | DRX UC NEW BEDFORD PC |
| Organization Legal Name | DRX UC NEW BEDFORD PC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jody L Dube | Physician Assistant | Drx Uc New Bedford PC | 119 Coggeshall St, New Bedford, MA 02746-2443 |
| Jennifer Hixon | Physician Assistant | Drx Uc New Bedford PC | 119 Coggeshall St, New Bedford, MA 02746-2443 |
| Street Address |
119 COGGESHALL ST |
| City | NEW BEDFORD |
| State | MA |
| Zip | 02746-2443 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jody L Dube | Physician Assistant | Drx Uc New Bedford PC | 119 Coggeshall St, New Bedford, MA 02746-2443 |
| Jennifer Hixon | Physician Assistant | Drx Uc New Bedford PC | 119 Coggeshall St, New Bedford, MA 02746-2443 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Melissa M Sullivan | Clinical Social Worker | All Care Homecare, LLC | 2343 Purchase St C, New Bedford, MA 02746-1540 |
| Sonya Garba | Nurse Practitioner | All Care Homecare, LLC | 2343 Purchase St C, New Bedford, MA 02746-1540 |
| Nicole Baisden | Clinical Nurse Specialist | All Care Homecare, LLC | 2343 Purchase St C, New Bedford, MA 02746-1540 |
| City | NEW BEDFORD |
| Zip Code | 02746 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | NEW BEDFORD + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Mark P Richard.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.