| Geriatric Primary Care Pc | |
|
723 Main St Agawam MA 01001-2540 | |
| (413) 374-0031 | |
| (413) 384-2526 |
| Full Name | Geriatric Primary Care Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 723 Main St, Agawam, Massachusetts |
| Authorized Official Name and Position | May Awkal (CEO) |
| Authorized Official Contact | 8608814161 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Geriatric Primary Care Pc 723 Main St Agawam MA 01001-2540 Ph: (413) 374-0031 | Geriatric Primary Care Pc 723 Main St Agawam MA 01001-2540 Ph: (413) 374-0031 |
| NPI Number | 1972349090 |
|---|---|
| Provider Enumeration Date | 07/08/2024 |
| Last Update Date | 07/08/2024 |
| Medicare PECOS PAC ID | 7315483583 |
|---|---|
| Medicare Enrollment ID | O20240724000883 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972349090 | 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 | Jennifer Killips |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104399278 PECOS PAC ID: 4688914435 Enrollment ID: I20190314001239 |
| Provider Name | Susan 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 Efantis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720716681 PECOS PAC ID: 1658748454 Enrollment ID: I20221108002276 |
| Provider Name | Kevin C Langley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194580241 PECOS PAC ID: 8628416245 Enrollment ID: I20240402002168 |
Am Medical Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 723 Main St, Agawam, MA 01001 Phone: 413-374-0031 Fax: 413-384-2526 | |
Genesis Eldercare Physician Services Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 464 Main St, Heritage Hall East, Agawam, MA 01001 Phone: 413-786-8000 Fax: 413-789-1099 | |
Internal Medicine Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 377 Walnut Street Extension, Agawam, MA 01001 Phone: 413-786-7217 Fax: 413-786-7219 |