| Meghan Marie Provost, NP | |
|
21 Dwight Road, Suite 104, Longmeadow, MA 01106-1765 | |
| (413) 795-4555 | |
| (413) 794-9448 |
| Full Name | Meghan Marie Provost |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 7 Years |
| Location | 21 Dwight Road, 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 |
|---|---|---|---|
| 1639721590 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | RN2301093 (Massachusetts) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Amedisys Home Health Care | Agawam, MA | Home health agency |
| Baystate Medical Center | Springfield, MA | Hospital |
| Baystate Noble Hospital | Westfield, MA | Hospital |
| Baystate Wing Hospital | Palmer, MA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Baystate Medical Practices Inc | 5991602971 | 1177 |
| Entity Name | Baystate Medical Practices Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548205909 PECOS PAC ID: 5991602971 Enrollment ID: O20040225000080 |
| Mailing Address | Practice Location Address |
|---|---|
| Meghan Marie Provost, NP 280 Chestnut St Fl 2, Springfield, MA 01199-1001 Ph: (413) 794-5700 | Meghan Marie Provost, NP 21 Dwight Road, Suite 104, Longmeadow, MA 01106-1765 Ph: (413) 795-4555 |
Mrs. Janet Louise Helliwell, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 770 Converse St, Longmeadow, MA 01106 Phone: 413-565-2904 Fax: 413-565-2975 | |
Erin Mary Ferraro, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 21 Dwight Road, Suite 104, Longmeadow, MA 01106 Phone: 413-794-4555 Fax: 413-794-9448 | |
Mr. David James Allen, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 770 Converse St, Longmeadow, MA 01106 Phone: 413-567-3949 Fax: 413-567-0175 | |
Nicholas Tobin, C.N.P., P.C.N.S. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 175 Dwight Rd Ste 103, Longmeadow, MA 01106 Phone: 413-266-8326 Fax: 413-317-7218 | |
Mary Lynn A Carleton, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 21 Dwight Road, Suite 104, Longmeadow, MA 01106 Phone: 413-794-5600 Fax: 413-794-2733 | |
Dr. Ema Uko-abasi, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 171 Dwight Rd Ste 102, Longmeadow, MA 01106 Phone: 413-824-4070 | |
Elizabeth Heap, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 25 Dover Rd, Longmeadow, MA 01106 Phone: 413-427-5076 |