| Gardner Family Medicine, Inc. | |
|
57 City Hall Ave Gardner MA 01440-2614 | |
| (978) 630-3862 | |
| (978) 630-4176 |
| Full Name | Gardner Family Medicine, Inc. |
|---|---|
| Speciality | Physician Assistant |
| Location | 57 City Hall Ave, Gardner, Massachusetts |
| Authorized Official Name and Position | Jennifer Ryan (PRESIDENT) |
| Authorized Official Contact | 9786303862 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gardner Family Medicine, Inc. 57 City Hall Ave Gardner MA 01440-2614 Ph: (978) 630-3862 | Gardner Family Medicine, Inc. 57 City Hall Ave Gardner MA 01440-2614 Ph: (978) 630-3862 |
| NPI Number | 1003011594 |
|---|---|
| Provider Enumeration Date | 06/15/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 9234225343 |
|---|---|
| Medicare Enrollment ID | O20071022000189 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003011594 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 2141244 (Massachusetts) | Primary |
| 363A00000X | Physician Assistant | 214124 (Massachusetts) | Primary |
| Provider Name | Jennifer L Ryan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467427708 PECOS PAC ID: 0345287306 Enrollment ID: I20050411001274 |
| Provider Name | Erik Wisniewski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992201925 PECOS PAC ID: 6103171657 Enrollment ID: I20180625000981 |
| Provider Name | Chelsea Gagne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104541432 PECOS PAC ID: 8426421249 Enrollment ID: I20230227000896 |
Community Health Connections, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 529 Timpany Boulevard, Gardner, MA 01440 Phone: 978-878-8100 | |
Gardner Community Health Connections Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 175 Connors Street, Gardner, MA 01440 Phone: 978-410-6100 Fax: 978-410-6109 | |
Mercy Family Practice Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 250 Green St, Suite 200, Gardner, MA 01440 Phone: 978-632-6445 Fax: 978-630-3603 | |
Heywood Athol Inpatient Specialists Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 242 Green St, Gardner, MA 01440 Phone: 978-258-4734 | |
Tricia Vorderstrasse Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 250 Green St, Suite 1 06, Gardner, MA 01440 Phone: 978-249-1791 Fax: 978-249-1794 | |
Chair City Family Medicine, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 250 Green St, Gardner, MA 01440 Phone: 978-630-4455 Fax: 978-669-0046 |