| Meadows Health Center Pc | |
|
40 Crane Ave East Longmeadow MA 01028 | |
| (413) 281-8793 | |
| Not Available |
| Full Name | Meadows Health Center Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 40 Crane Ave, East Longmeadow, Massachusetts |
| Authorized Official Name and Position | Muhammad Gul (OWNER/AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 3212741864 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Meadows Health Center Pc 53 Williamsburg Dr Longmeadow MA 01106-1725 Ph: (321) 274-1864 | Meadows Health Center Pc 40 Crane Ave East Longmeadow MA 01028 Ph: (413) 281-8793 |
| NPI Number | 1194233064 |
|---|---|
| Provider Enumeration Date | 01/13/2018 |
| Last Update Date | 09/17/2020 |
| Medicare PECOS PAC ID | 5193073823 |
|---|---|
| Medicare Enrollment ID | O20180813000268 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194233064 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 207RA0401X | Internal Medicine - Addiction Medicine | (* (Not Available)) | Secondary |
| Provider Name | Anne G Jacque |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1013938471 PECOS PAC ID: 4082504998 Enrollment ID: I20040316000771 |
| Provider Name | Muhammad A Gul |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1144438193 PECOS PAC ID: 2062504715 Enrollment ID: I20070825000050 |
| Provider Name | Aroosa Alam |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1700023827 PECOS PAC ID: 1355487562 Enrollment ID: I20091001000221 |
| Provider Name | Anita Macdonald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568912814 PECOS PAC ID: 6002194438 Enrollment ID: I20161104001660 |
| Provider Name | Sheila Whelan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336570126 PECOS PAC ID: 4183090863 Enrollment ID: I20221020002400 |
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