| Elizabeth L Rose, MD | |
|
759 Chestnut Street, Springfield, MA 01107-1619 | |
| (413) 794-5307 | |
| (413) 794-8430 |
| Full Name | Elizabeth L Rose |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 759 Chestnut Street, Springfield, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235315854 | NPI | - | NPPES |
| 110079237/A | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 234585 (Massachusetts) | Primary |
| Entity Name | Baystate Medical Practices Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548205909 PECOS PAC ID: 5991602971 Enrollment ID: O20040225000080 |
| Entity Name | Riverbend Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841651197 PECOS PAC ID: 5698064343 Enrollment ID: O20160614001710 |
| Mailing Address | Practice Location Address |
|---|---|
| Elizabeth L Rose, MD 280 Chestnut Street, 2nd Fl, Springfield, MA 01199-1001 Ph: (413) 794-5700 | Elizabeth L Rose, MD 759 Chestnut Street, Springfield, MA 01107-1619 Ph: (413) 794-5307 |
Adam Gregory Wychowski, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 3640 Main St Ste 207, Springfield, MA 01107 Phone: 413-739-0669 Fax: 413-739-0621 | |
Regina Kruczynska, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 299 Carew St, Springfield, MA 01104 Phone: 413-734-6461 | |
Stephen A Lieberman, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 759 Chestnut St, Springfield, MA 01107 Phone: 413-794-5370 Fax: 413-794-9748 | |
Jeffrey Walbridge, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 759 Chestnut St, Springfield, MA 01199 Phone: 413-794-0000 | |
Judith E Blumhofer, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 140 High Street, Springfield, MA 01199 Phone: 413-794-2515 Fax: 413-794-5673 | |
Danielle B. Gibbs, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 140 High St, Springfield, MA 01105 Phone: 413-794-2515 Fax: 413-794-5673 | |
Dr. Matthew D. Di Guglielmo, MD, PHD Pediatrics Medicare: Medicare Enrolled Practice Location: 140 High St Ste 1, Springfield, MA 01105 Phone: 413-794-2515 Fax: 413-794-5673 |