| Ms Pamela Jenner Jeppson, PA-C | |
|
21 Dwight Road, Suit 105, Longmeadow, MA 01106 | |
| (413) 794-5600 | |
| (413) 794-2733 |
| Full Name | Ms Pamela Jenner Jeppson |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant - Medical |
| Location | 21 Dwight Road, Longmeadow, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508376849 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | PA6387 (Massachusetts) | Primary |
| Entity Name | Hartford Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407806391 PECOS PAC ID: 2567366016 Enrollment ID: O20031125000700 |
| Entity Name | Hartford Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770696643 PECOS PAC ID: 2567366016 Enrollment ID: O20031125000752 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Pamela Jenner Jeppson, PA-C 280 Chestnut Street, 2nd Floor, Springfield, MA 01199-1001 Ph: (413) 794-5700 | Ms Pamela Jenner Jeppson, PA-C 21 Dwight Road, Suit 105, Longmeadow, MA 01106 Ph: (413) 794-5600 |
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 |
Christiana Annmarie Nunez, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 588 Longmeadow St, Longmeadow, MA 01106 Phone: 347-424-3333 |
Logan David Welch, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 588 Longmeadow St, Longmeadow, MA 01106 Phone: 413-565-1000 |