| New England Center For Functional Medicine Pc | |
|
2 Medical Center Dr Suite 202 Springfield MA 01107 | |
| (413) 205-1200 | |
| (413) 205-1220 |
| Full Name | New England Center For Functional Medicine Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2 Medical Center Dr, Springfield, Massachusetts |
| Authorized Official Name and Position | Christopher R Keroack (MEDICAL DIRECTOR) |
| Authorized Official Contact | 4132051200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| New England Center For Functional Medicine Pc 2 Medical Center Dr Suite 202 Springfield MA 01107 Ph: (413) 205-1200 | New England Center For Functional Medicine Pc 2 Medical Center Dr Suite 202 Springfield MA 01107 Ph: (413) 205-1200 |
| NPI Number | 1730202938 |
|---|---|
| Provider Enumeration Date | 04/10/2007 |
| Last Update Date | 11/07/2022 |
| Medicare PECOS PAC ID | 7012007685 |
|---|---|
| Medicare Enrollment ID | O20080301000035 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730202938 | NPI | - | NPPES |
| M19415 | Other | MA | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 207RB0002X | Internal Medicine - Obesity Medicine | (* (Not Available)) | Primary |
| Provider Name | Christopher Keroack |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841230125 PECOS PAC ID: 1456451665 Enrollment ID: I20070717000072 |
| Provider Name | Rebecca E Sarich |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1558474163 PECOS PAC ID: 9436454147 Enrollment ID: I20160217002107 |
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