| Tanner Mark Bzdel, PA | |
|
759 Chestnut St Ste C3350, Springfield, MA 01107-1619 | |
| (413) 794-6297 | |
| (413) 794-1767 |
| Full Name | Tanner Mark Bzdel |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant - Medical |
| Location | 759 Chestnut St Ste C3350, Springfield, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831736388 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | PA8025 (Massachusetts) | Primary |
| Entity Name | Baystate Medical Practices Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548205909 PECOS PAC ID: 5991602971 Enrollment ID: O20040225000080 |
| 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 | 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 |
| Entity Name | CH Specialty Services Ma PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902510720 PECOS PAC ID: 9931571437 Enrollment ID: O20230209001851 |
| Mailing Address | Practice Location Address |
|---|---|
| Tanner Mark Bzdel, PA 280 Chestnut St Fl 2, Springfield, MA 01199-1001 Ph: (413) 794-5700 | Tanner Mark Bzdel, PA 759 Chestnut St Ste C3350, Springfield, MA 01107-1619 Ph: (413) 794-6297 |
Deborah Blume, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3455 Main Street, Springfield, MA 01199 Phone: 413-794-8777 |
Linda Theriault, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3300 Main St, 2nd Floor Suite A, Springfield, MA 01199 Phone: 413-794-7246 Fax: 413-794-0198 |
Samantha Whalen Bouthillette, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 300 Birnie Ave, Springfield, MA 01107 Phone: 413-785-4666 |
Danielle Elisabeth Deserres, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3300 Main Street, Springfield, MA 01107 Phone: 413-794-5600 Fax: 413-794-7297 |
Marya Kate Casartello, PA-C Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 3455 Main St Ste 5, Springfield, MA 01107 Phone: 413-733-9600 Fax: 413-732-6534 |
Alanna Servant, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3300 Main St, Suite 4d, Springfield, MA 01107 Phone: 413-794-8336 Fax: 413-794-7345 |
Tamer Bahgat, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 300 Birnie Ave, Ste 201, Springfield, MA 01107 Phone: 413-785-4666 Fax: 413-846-4756 |