| Mr Jacob Freeman, PA | |
|
21 Dwight Rd Ste 104, Longmeadow, MA 01106-1765 | |
| (413) 795-4555 | |
| (413) 794-9448 |
| Full Name | Mr Jacob Freeman |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 9 Years |
| Location | 21 Dwight Rd Ste 104, 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 |
|---|---|---|---|
| 1467969972 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | PA6332 (Massachusetts) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Cooley Dickinson Hospital Inc,the | Northampton, MA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mass General Brigham Medical Group Western Massachusetts Inc | 2567359839 | 291 |
| Entity Name | Massachusetts General Physicians Organization Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801874573 PECOS PAC ID: 2466365820 Enrollment ID: O20031111000434 |
| Entity Name | Mass General Brigham Medical Group Western Massachusetts Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295787919 PECOS PAC ID: 2567359839 Enrollment ID: O20040302000290 |
| Entity Name | Mass General Brigham Medical Group Northern Massachusetts Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588606123 PECOS PAC ID: 3577467224 Enrollment ID: O20050429000668 |
| Entity Name | The General Hospital Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023049236 PECOS PAC ID: 6507803806 Enrollment ID: O20080313000351 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Jacob Freeman, PA 280 Chestnut St Fl 2, Springfield, MA 01199-1001 Ph: (413) 794-5700 | Mr Jacob Freeman, PA 21 Dwight Rd Ste 104, Longmeadow, MA 01106-1765 Ph: (413) 795-4555 |
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 |