| Mrs Kelley Ann Prendergast, PA | |
|
175 Connors Street, Gardner, MA 01440 | |
| (978) 410-6121 | |
| (978) 410-6109 |
| Full Name | Mrs Kelley Ann Prendergast |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 21 Years |
| Location | 175 Connors Street, Gardner, 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 |
|---|---|---|---|
| 1033189352 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | AP2003 (Massachusetts) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Health Alliance Home Health And Hospice | Leominster, MA | Home health agency |
| Care Central Vna & Hospice Inc | Gardner, MA | Home health agency |
| Heywood Hospital - | Gardner, MA | Hospital |
| Health Alliance - Clinton Hospital | Leominster, MA | Hospital |
| Athol Memorial Hospital | Athol, MA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Community Health Connections, Inc | 8729074992 | 91 |
| Entity Name | Community Health Connections, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477580827 PECOS PAC ID: 8729074992 Enrollment ID: O20040422001136 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Kelley Ann Prendergast, PA 326 Nichols Road, Fitchburg, MA 01420 Ph: (978) 878-8100 | Mrs Kelley Ann Prendergast, PA 175 Connors Street, Gardner, MA 01440 Ph: (978) 410-6121 |
Emily Kathryn Diconza Smith, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 59 Eastwood Cir, Gardner, MA 01440 Phone: 872-231-3162 Fax: 702-977-1496 |
Kristina Lahtinen, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 266 Main St, Gardner, MA 01440 Phone: 978-630-5030 |
Mr. Ryan Paul Balthaser, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 725 Timpany Blvd, Gardner, MA 01440 Phone: 978-632-8100 |
Quianna Jazmyne Diaz-patterson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 86 Highland St, Gardner, MA 01440 Phone: 603-438-0573 |
Casie Hurd Short, PA-C Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 175 Connors St, Gardner, MA 01440 Phone: 978-410-6100 |
Jenna Garozzo, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 725 Timpany Blvd, Gardner, MA 01440 Phone: 978-632-8100 |
Erica Lasorsa, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 266 Main St, Gardner, MA 01440 Phone: 978-630-5030 |