| Jhoan Anthony Rodriguez, | |
|
588 Longmeadow St, Longmeadow, MA 01106-2212 | |
| (413) 565-1000 | |
| Not Available |
| Full Name | Jhoan Anthony Rodriguez |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 1 Years |
| Location | 588 Longmeadow St, Longmeadow, Massachusetts |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497439319 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (Massachusetts) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Convenientmd - Ffs Uc Llc | 5193186492 | 397 |
| Urgent Care Medical Center Llc | 0840570628 | 52 |
| Entity Name | Convenientmd - Ffs UC LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790528628 PECOS PAC ID: 5193186492 Enrollment ID: O20230921002173 |
| Entity Name | Urgent Care Medical Center LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295186286 PECOS PAC ID: 0840570628 Enrollment ID: O20240813000488 |
| Mailing Address | Practice Location Address |
|---|---|
| Jhoan Anthony Rodriguez, 588 Longmeadow St, Longmeadow, MA 01106-2212 Ph: Not Available | Jhoan Anthony Rodriguez, 588 Longmeadow St, Longmeadow, MA 01106-2212 Ph: (413) 565-1000 |
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 |
Christiana Annmarie Nunez, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 588 Longmeadow St, Longmeadow, MA 01106 Phone: 347-424-3333 |
Logan David Welch, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 588 Longmeadow St, Longmeadow, MA 01106 Phone: 413-565-1000 |