| Manhan Internal Medicine Pc | |
|
2 Mechanic St Suite A Easthampton MA 01027-1562 | |
| (413) 529-9282 | |
| (413) 527-7526 |
| Full Name | Manhan Internal Medicine Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2 Mechanic St, Easthampton, Massachusetts |
| Authorized Official Name and Position | Erika Suzanne Duggan (PRACTICE ADMINISTRATOR) |
| Authorized Official Contact | 4135299282 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Manhan Internal Medicine Pc 2 Mechanic St Suite A Easthampton MA 01027-1562 Ph: (413) 529-9282 | Manhan Internal Medicine Pc 2 Mechanic St Suite A Easthampton MA 01027-1562 Ph: (413) 529-9282 |
| NPI Number | 1043590417 |
|---|---|
| Provider Enumeration Date | 08/17/2011 |
| Last Update Date | 01/30/2012 |
| Medicare PECOS PAC ID | 8123299948 |
|---|---|
| Medicare Enrollment ID | O20110927000348 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043590417 | NPI | - | NPPES |
| 3058581 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 71687 (Massachusetts) | Primary |
| Provider Name | Mark A Bigda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043292089 PECOS PAC ID: 2163409392 Enrollment ID: I20040706000573 |
| Provider Name | Elaine H Skawski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073669255 PECOS PAC ID: 3870817745 Enrollment ID: I20150123002146 |
Diane M Debenedetto Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 132 Cottage Street, Easthampton, MA 01027 Phone: 413-527-7952 Fax: 413-529-0603 | |
Shawki Kanazi Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 132 Cottage St, Easthampton, MA 01027 Phone: 413-527-7577 Fax: 413-529-0594 |