| Adrienne Thibodeau, PA-C | |
|
722 Bliss Rd, Longmeadow, MA 01106-1557 | |
| (413) 561-7468 | |
| Not Available |
| Full Name | Adrienne Thibodeau |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 11 Years |
| Location | 722 Bliss Rd, Longmeadow, Massachusetts |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780069310 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AS0400X | Physician Assistant - Surgical | PA5482 (Massachusetts) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Holyoke Medical Center | Holyoke, MA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Holyoke Medical Center Inc | 2163419383 | 202 |
| Riverbend Medical Group Inc | 5698064343 | 227 |
| Entity Name | Holyoke Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750395737 PECOS PAC ID: 2163419383 Enrollment ID: O20040429000312 |
| Entity Name | Western Mass Physician Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922009547 PECOS PAC ID: 5799767109 Enrollment ID: O20040601000909 |
| 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 |
|---|---|
| Adrienne Thibodeau, PA-C 12 Cherry Brook Ln, Suffield, CT 06078-1039 Ph: (860) 810-4980 | Adrienne Thibodeau, PA-C 722 Bliss Rd, Longmeadow, MA 01106-1557 Ph: (413) 561-7468 |
Kevin Wijewardena, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 588 Longmeadow St, Longmeadow, MA 01106 Phone: 413-565-1000 |
Erin Lynn Emery, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 588 Longmeadow St, Longmeadow, MA 01106 Phone: 413-565-1000 |
Katherine Tramanh Ngoc Nguyen, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 588 Longmeadow St, Longmeadow, MA 01106 Phone: 413-565-1000 |
Ashley Ruth Shelsie Desameau, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 588 Longmeadow St, Longmeadow, MA 01106 Phone: 413-565-1000 |
Tin Viet Phan, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 588 Longmeadow St, Longmeadow, MA 01106 Phone: 413-565-1000 |
Patricia Ceseretti, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 588 Longmeadow St, Longmeadow, MA 01106 Phone: 413-565-1000 |
Christiana Annmarie Nunez, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 588 Longmeadow St, Longmeadow, MA 01106 Phone: 347-424-3333 |