| Leonard H Shaker, MD | |
|
100 Wason Avenue, Suite 120, Springfield, MA 01107-1119 | |
| (413) 241-2100 | |
| (413) 735-1986 |
| Full Name | Leonard H Shaker |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Location | 100 Wason Avenue, 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 |
|---|---|---|---|
| 1437117496 | NPI | - | NPPES |
| J08438 | Other | MA | BLUE CROSS BLUE SHIELD |
| 3049035 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 70483 (Massachusetts) | Primary |
| Entity Name | Pioneer Valley Urology, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750315982 PECOS PAC ID: 7214972207 Enrollment ID: O20050621000419 |
| Mailing Address | Practice Location Address |
|---|---|
| Leonard H Shaker, MD 100 Wason Avenue, Suite 120, Springfield, MA 01107-1119 Ph: (413) 241-2100 | Leonard H Shaker, MD 100 Wason Avenue, Suite 120, Springfield, MA 01107-1119 Ph: (413) 241-2100 |
Alexander M Berry, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 100 Wason Ave, Suite 240, Holyoke Medicacal Center - Urology, Springfield, MA 01107 Phone: 413-746-4800 | |
Stephen J Gallo, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 100 Wason Avenue, Suite 120, Springfield, MA 01107 Phone: 413-241-2100 Fax: 413-735-1986 | |
Shamim N Schroeder, PA-C Urology Medicare: Accepting Medicare Assignments Practice Location: 3640 Main St Ste 103, Springfield, MA 01107 Phone: 413-785-5821 | |
Augustyna Patrycja Gogoj, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 3640 Main St Ste 103, Springfield, MA 01107 Phone: 413-785-5321 | |
Oscar L Elguero, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 100 Wason Avenue, Suite 120, Springfield, MA 01107 Phone: 413-241-2100 Fax: 413-735-1986 | |
William E Swanson, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 100 Wason Avenue, Suite 120, Springfield, MA 01107 Phone: 413-241-2100 Fax: 413-735-1986 | |
Joseph Michael Decenzo, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 2 Medical Center Dr, Suite 308, Springfield, MA 01107 Phone: 413-794-8080 Fax: 413-794-8266 |