| Am Medical Pc | |
|
1200 Converse St Longmeadow MA 01106-1675 | |
| (413) 374-0031 | |
| Not Available |
| Full Name | Am Medical Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1200 Converse St, Longmeadow, Massachusetts |
| Authorized Official Name and Position | May Awkal (PHYSICIAN) |
| Authorized Official Contact | 4133740031 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Am Medical Pc 1200 Converse St Longmeadow MA 01106-1675 Ph: (413) 374-0031 | Am Medical Pc 1200 Converse St Longmeadow MA 01106-1675 Ph: (413) 374-0031 |
| NPI Number | 1104476613 |
|---|---|
| Provider Enumeration Date | 09/17/2019 |
| Last Update Date | 09/17/2019 |
| Medicare PECOS PAC ID | 9133451990 |
|---|---|
| Medicare Enrollment ID | O20191028001662 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104476613 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | May Awkal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316181027 PECOS PAC ID: 4981850559 Enrollment ID: I20160831000996 |
| Provider Name | Christine Surrette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689160954 PECOS PAC ID: 9234492307 Enrollment ID: I20181019002335 |
| Provider Name | Jennifer T Killips |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104399278 PECOS PAC ID: 4688914435 Enrollment ID: I20190314001239 |
| Provider Name | Susan M Buczala |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720562432 PECOS PAC ID: 5496151227 Enrollment ID: I20210902001614 |
| Provider Name | Melissa Pouliot |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215537576 PECOS PAC ID: 5395123327 Enrollment ID: I20220603001476 |
| Provider Name | Noelle G Efantis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720716681 PECOS PAC ID: 1658748454 Enrollment ID: I20221108002276 |
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