Leonard H Shaker, MD | |
100 Wason Avenue, Suite 120, Springfield, MA 01107-1119 | |
(413) 241-2100 | |
(413) 735-1986 |
Full Name | Leonard H Shaker |
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Gender | Male |
Speciality | Urology |
Location | 100 Wason Avenue, 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 |
---|---|---|---|
1437117496 | NPI | - | NPPES |
J08438 | Other | MA | BLUE CROSS BLUE SHIELD |
3049035 | Medicaid | MA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | 70483 (Massachusetts) | Primary |
Entity Name | Pioneer Valley Urology, Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750315982 PECOS PAC ID: 7214972207 Enrollment ID: O20050621000419 |
Mailing Address | Practice Location Address |
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Leonard H Shaker, MD 100 Wason Avenue, Suite 120, Springfield, MA 01107-1119 Ph: (413) 241-2100 | Leonard H Shaker, MD 100 Wason Avenue, Suite 120, Springfield, MA 01107-1119 Ph: (413) 241-2100 |
Alexander M Berry, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 100 Wason Ave, Suite 240, Holyoke Medicacal Center - Urology, Springfield, MA 01107 Phone: 413-746-4800 | |
Stephen J Gallo, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 100 Wason Avenue, Suite 120, Springfield, MA 01107 Phone: 413-241-2100 Fax: 413-735-1986 | |
Oscar L Elguero, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 100 Wason Avenue, Suite 120, Springfield, MA 01107 Phone: 413-241-2100 Fax: 413-735-1986 | |
William E Swanson, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 100 Wason Avenue, Suite 120, Springfield, MA 01107 Phone: 413-241-2100 Fax: 413-735-1986 | |
Joseph Michael Decenzo, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 2 Medical Center Dr, Suite 308, Springfield, MA 01107 Phone: 413-794-8080 Fax: 413-794-8266 | |
Dr. Aaron Joseph Berkenwald, M.D. Urology Medicare: Medicare Enrolled Practice Location: 100 Wason Ave Ste 120, Springfield, MA 01107 Phone: 413-272-4427 | |
Robert I White, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 100 Wason Avenue, Suite 120, Springfield, MA 01107 Phone: 413-241-2100 Fax: 813-735-1986 |