| Ms Odeta Hysenaj, PA | |
|
111 Huntoon Memorial Hwy, Innovative Physician Services Llc, Rochdale, MA 01542 | |
| (508) 892-6000 | |
| (508) 892-6001 |
| Full Name | Ms Odeta Hysenaj |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 111 Huntoon Memorial Hwy, Rochdale, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306835129 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | AP1941 (Massachusetts) | Primary |
| Entity Name | Medical Care of Boston Management Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437196359 PECOS PAC ID: 6800787714 Enrollment ID: O20040322000778 |
| Entity Name | Hebrew Rehabilitation Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437155967 PECOS PAC ID: 6608855119 Enrollment ID: O20040719000202 |
| Entity Name | Curana Health of Massachusetts LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154779445 PECOS PAC ID: 4688967763 Enrollment ID: O20160727000947 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Odeta Hysenaj, PA Po Box 391, Innovative Physician Services Llc, Wilbraham, MA 01095-0391 Ph: (508) 595-0531 | Ms Odeta Hysenaj, PA 111 Huntoon Memorial Hwy, Innovative Physician Services Llc, Rochdale, MA 01542 Ph: (508) 892-6000 |
Ms. Elena Grammatikakis, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 111 Huntoon Memorial Hwy, Innovative Physician Services Llc, Rochdale, MA 01542 Phone: 508-892-6000 Fax: 508-892-6001 |
Rebecca Joy St. Amand, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 111 Huntoon Memorial Hwy, Rochdale, MA 01542 Phone: 508-892-6020 |