Dr Kimball A Prentiss, MD | |
759 Chestnut St, Springfield, MA 01199-1619 | |
(413) 794-3233 | |
(413) 794-9060 |
Full Name | Dr Kimball A Prentiss |
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Gender | Female |
Speciality | Pediatrics - Pediatric Emergency Medicine |
Location | 759 Chestnut St, Springfield, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1972555670 | NPI | - | NPPES |
110041041A | Medicaid | MA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 224057 (Massachusetts) | Secondary |
2080P0204X | Pediatrics - Pediatric Emergency Medicine | 224057 (Massachusetts) | Primary |
Entity Name | Child Health Foundation Of Boston Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619969920 PECOS PAC ID: 1557263340 Enrollment ID: O20040122000712 |
Entity Name | Baystate Medical Practices Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548205909 PECOS PAC ID: 5991602971 Enrollment ID: O20040225000080 |
Mailing Address | Practice Location Address |
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Dr Kimball A Prentiss, MD 280 Chestnut St, 2nd Floor, Springfield, MA 01199-1619 Ph: (413) 794-5700 | Dr Kimball A Prentiss, MD 759 Chestnut St, Springfield, MA 01199-1619 Ph: (413) 794-3233 |
Adam Gregory Wychowski, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 3640 Main St Ste 207, Springfield, MA 01107 Phone: 413-739-0669 Fax: 413-739-0621 | |
Regina Kruczynska, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 299 Carew St, Springfield, MA 01104 Phone: 413-734-6461 | |
Stephen A Lieberman, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 759 Chestnut St, Springfield, MA 01107 Phone: 413-794-5370 Fax: 413-794-9748 | |
Jeffrey Walbridge, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 759 Chestnut St, Springfield, MA 01199 Phone: 413-794-0000 | |
Judith E Blumhofer, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 140 High Street, Springfield, MA 01199 Phone: 413-794-2515 Fax: 413-794-5673 | |
Danielle B. Gibbs, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 140 High St, Springfield, MA 01105 Phone: 413-794-2515 Fax: 413-794-5673 | |
Krista Turner Kitchen, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 759 Chestnut St, Springfield, MA 01107 Phone: 413-794-3233 |