| Jennifer Pham, PA-C | |
|
100 Wason Ave Ste 100, Springfield, MA 01107-1179 | |
| (413) 732-7426 | |
| (833) 972-4800 |
| Full Name | Jennifer Pham |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 2 Years |
| Location | 100 Wason Ave Ste 100, Springfield, 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 |
|---|---|---|---|
| 1174318216 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA101586 (Massachusetts) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Baystate Medical Center | Springfield, MA | Hospital |
| Baystate Franklin Medical Center | Greenfield, MA | Hospital |
| Mercy Medical Ctr | Springfield, MA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ear Nose And Throat Surgeons Of Western New England Llc | 5991746265 | 16 |
| Entity Name | Ear Nose & Throat Surgeons of Western New England LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386685881 PECOS PAC ID: 5991746265 Enrollment ID: O20050517000532 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Pham, PA-C 100 Wason Ave Ste 100, Springfield, MA 01107-1179 Ph: (413) 732-7426 | Jennifer Pham, PA-C 100 Wason Ave Ste 100, Springfield, MA 01107-1179 Ph: (413) 732-7426 |
Deborah Blume, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3455 Main Street, Springfield, MA 01199 Phone: 413-794-8777 |
Linda Theriault, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3300 Main St, 2nd Floor Suite A, Springfield, MA 01199 Phone: 413-794-7246 Fax: 413-794-0198 |
Samantha Whalen Bouthillette, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 300 Birnie Ave, Springfield, MA 01107 Phone: 413-785-4666 |
Danielle Elisabeth Deserres, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3300 Main Street, Springfield, MA 01107 Phone: 413-794-5600 Fax: 413-794-7297 |
Marya Kate Casartello, PA-C Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 3455 Main St Ste 5, Springfield, MA 01107 Phone: 413-733-9600 Fax: 413-732-6534 |
Alanna Servant, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3300 Main St, Suite 4d, Springfield, MA 01107 Phone: 413-794-8336 Fax: 413-794-7345 |
Tamer Bahgat, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 300 Birnie Ave, Ste 201, Springfield, MA 01107 Phone: 413-785-4666 Fax: 413-846-4756 |