| Stephanie A Carlin, DO | |
|
140 High Street, Springfield, MA 01105-1442 | |
| (413) 794-2515 | |
| (413) 794-5673 |
| Full Name | Stephanie A Carlin |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 140 High 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 |
|---|---|---|---|
| 1104884766 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 225126 (Massachusetts) | Secondary |
| 208000000X | Pediatrics | OS0524091 (Florida) | Primary |
| Entity Name | University Of Florida Jacksonville Physicians, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144276452 PECOS PAC ID: 9133025869 Enrollment ID: O20040128000786 |
| Mailing Address | Practice Location Address |
|---|---|
| Stephanie A Carlin, DO Po Box 44008, Jacksonville, FL 32231-4008 Ph: (904) 202-8920 | Stephanie A Carlin, DO 140 High Street, Springfield, MA 01105-1442 Ph: (413) 794-2515 |
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 |