| Pioneer Neurology And Sleep Pc | |
|
299 Carew St Suite 326 Springfield MA 01104-2301 | |
| (413) 736-1500 | |
| (413) 736-1600 |
| Full Name | Pioneer Neurology And Sleep Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 299 Carew St, Springfield, Massachusetts |
| Authorized Official Name and Position | Rani U Athreya (PRESIDENT) |
| Authorized Official Contact | 4137361500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pioneer Neurology And Sleep Pc 785 Williams St Suite 324 Longmeadow MA 01106-2063 Ph: (413) 736-1500 | Pioneer Neurology And Sleep Pc 299 Carew St Suite 326 Springfield MA 01104-2301 Ph: (413) 736-1500 |
| NPI Number | 1124379714 |
|---|---|
| Provider Enumeration Date | 09/24/2012 |
| Last Update Date | 09/24/2012 |
| Medicare PECOS PAC ID | 0648422352 |
|---|---|
| Medicare Enrollment ID | O20121204000020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124379714 | NPI | - | NPPES |
| A39156 | Other | MA | MEDICARE |
| 2106108 | Other | MA | MASS MEDICAID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 208931 (Massachusetts) | Primary |
| Provider Name | Rani U Athreya |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1114000734 PECOS PAC ID: 6608800115 Enrollment ID: I20050923000702 |
| Provider Name | Kristie M Harrington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962956649 PECOS PAC ID: 8729362785 Enrollment ID: I20170313000263 |
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