| Jennifer Grom, MD | |
|
3400 Main St Ste A, Springfield, MA 01107-1113 | |
| (413) 794-9560 | |
| (413) 794-5884 |
| Full Name | Jennifer Grom |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Location | 3400 Main St Ste A, 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 |
|---|---|---|---|
| 1780212118 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 1019112 (Massachusetts) | Primary |
| Entity Name | Baystate Medical Practices Inc |
|---|---|
| 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 |
|---|---|
| Jennifer Grom, MD 280 Chestnut Street, 2nd Floor, Springfield, MA 01199-1001 Ph: (413) 794-5700 | Jennifer Grom, MD 3400 Main St Ste A, Springfield, MA 01107-1113 Ph: (413) 794-9560 |
Grace Makari-judson, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3350 Main Street, Springfield, MA 01107 Phone: 413-794-9338 Fax: 413-794-9754 | |
Peter Whittredge, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2 Medical Center Dr, Suite 410, Springfield, MA 01107 Phone: 413-781-5735 Fax: 413-732-0225 | |
Dr. Marc A Goldman, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 175 Carew St Ste 200, Springfield, MA 01104 Phone: 413-732-4269 Fax: 413-785-4619 | |
Twara K Tarasaria, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 759 Chestnut St, Springfield, MA 01107 Phone: 413-794-6297 Fax: 413-794-1767 | |
Dr. Sai R. Vadhula, MD, PHD Internal Medicine Medicare: Medicare Enrolled Practice Location: 759 Chestnut St Ste C3350, Springfield, MA 01107 Phone: 413-794-6297 Fax: 413-794-1767 | |
Dr. Joan Wanda Lisak, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 780 Chestnut St, Suite 20, Springfield, MA 01107 Phone: 413-781-2200 Fax: 413-781-2202 | |
Dr. Eva Karacsonyi, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2150 Main Street, Springfield, MA 01104 Phone: 413-739-5676 Fax: 413-739-2278 |