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Judith A Catalan

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

43 High St, Wareham, MA 02571-2097

(508) 973-5919 (508) 973-2000

PECOS Enrollment

This provider is enrolled in PECOS as JUDITH CATALAN.

Based on the most recent information from CMS, provider Judith A Catalan is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records today at 9:43 AM.

Profile Details

Provider ID
1124212634
Provider Type
Individual
Full Name
Catalan, Judith A
Credential
NP

Gender
Female
Sole Proprietor
No
Enumeration Date
8/29/2007
Last Updated
9/12/2024

Contact Information

Practice Location

43 High St, Wareham, MA 02571-2097

(508) 973-5919

(508) 973-5916

Mailing Location

200 Mill Rd Ste 180, Fairhaven, MA 02719-5255

(508) 973-2000

(508) 973-2001

Provider Taxonomies

Code	Description	License
Code 363L00000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License RN176740 Massachusetts

Provider Identifiers

ID	Description	Issuer
ID 110088422A	Description Medicaid	Issuer Unlisted Massachusetts
ID 1124212634	Description Medicaid	Issuer Unlisted Rhode Island

Judith A Catalan

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

ID

Description

Issuer

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Porter, Jennifer L

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Reeves, Jody P

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Camara, Katie

Berg, Colleen Marie

Costa, Hillary

Obin, Catherine A