| Mr Randy John Wnuk, PA-C | |
|
236 Milford St, Upton, MA 01568-1309 | |
| (508) 473-1015 | |
| Not Available |
| Full Name | Mr Randy John Wnuk |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 7 Years |
| Location | 236 Milford St, Upton, 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 |
|---|---|---|---|
| 1568922334 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | (Massachusetts) | Secondary |
| 363A00000X | Physician Assistant | PA6997 (Massachusetts) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Umass Memorial Health-milford Regional Medical Ctr | Milford, MA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mass General Brigham Community Physicians Inc | 1759273436 | 430 |
| Mass General Brigham Medical Group Suburban Massachusetts Inc | 0244133494 | 534 |
| Entity Name | Pratt Orthopaedic Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528107380 PECOS PAC ID: 7618295437 Enrollment ID: O20150407001877 |
| Entity Name | Mass General Brigham Community Physicians Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548638265 PECOS PAC ID: 1759273436 Enrollment ID: O20151215000536 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Randy John Wnuk, PA-C Po Box 415348, Boston, MA 02241-5348 Ph: (800) 225-8885 | Mr Randy John Wnuk, PA-C 236 Milford St, Upton, MA 01568-1309 Ph: (508) 473-1015 |
Sharon Forsmo, P.A. Physician Assistant Medicare: Medicare Enrolled Practice Location: 236 Milford St, Upton, MA 01568 Phone: 508-473-1015 Fax: 508-634-0261 |
Lindsay T Shepard, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 236 Milford St, Upton, MA 01568 Phone: 508-473-1015 Fax: 508-634-0261 |
Larissa M Costa, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 236 Milford St, Upton, MA 01568 Phone: 508-473-1015 Fax: 508-634-0261 |