| Mrs Jessica Lynn Runquist, PA-C | |
|
1675 Gar Hwy, Swansea, MA 02777-3901 | |
| (508) 490-5959 | |
| (508) 490-5960 |
| Full Name | Mrs Jessica Lynn Runquist |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 9 Years |
| Location | 1675 Gar Hwy, Swansea, Massachusetts |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124557376 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA6233 (Massachusetts) | Primary |
| 363A00000X | Physician Assistant | PA01115 (Rhode Island) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Modern Dermatology Of Massachusetts, Pllc | 9133564115 | 2 |
| Entity Name | Southcoast Physicians Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336137629 PECOS PAC ID: 0749171957 Enrollment ID: O20040920000138 |
| Entity Name | Modern Dermatology of Massachusetts, PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831964915 PECOS PAC ID: 9133564115 Enrollment ID: O20240229001738 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Jessica Lynn Runquist, PA-C 1675 Gar Hwy, Swansea, MA 02777-3901 Ph: (508) 490-5959 | Mrs Jessica Lynn Runquist, PA-C 1675 Gar Hwy, Swansea, MA 02777-3901 Ph: (508) 490-5959 |
Dawn M Santos, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1738 Gar Hwy, Swansea, MA 02777 Phone: 508-379-0012 Fax: 508-379-0777 |
Erin Nicole Abdallah, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 29 Brown St, Swansea, MA 02777 Phone: 508-431-8033 |
Margaret Inacio, PA-C Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 440 Swansea Mall Dr Fl 2, Swansea, MA 02777 Phone: 508-675-5640 |
Joshua P Tibbels, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 479 Swansea Mall Dr, Swansea, MA 02777 Phone: 508-973-2211 Fax: 508-973-0386 |