| Alice A Fannin, PA | |
|
630 Plantation St, Worcester, MA 01605 | |
| (508) 595-2000 | |
| (508) 853-7149 |
| Full Name | Alice A Fannin |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 630 Plantation St, Worcester, Massachusetts |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649240896 | NPI | - | NPPES |
| 970024208 | Other | RAILROAD MEDICARE | |
| 042472266 | Other | THREE RIVERS | |
| 8301088 | Other | EVERCARE | |
| 53324 | Other | FALLON COMMUNITY HLTH PLN | |
| AP1638 | Other | MEDICARE B |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 1422 (Massachusetts) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Alice A Fannin, PA 630 Plantation St, Wot 12th Floor Attn. Physician Services, Worcester, MA 01605 Ph: (508) 368-5529 | Alice A Fannin, PA 630 Plantation St, Worcester, MA 01605 Ph: (508) 595-2000 |
Mark Manzo, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 210 Park Ave Ste 163, Worcester, MA 01609 Phone: 508-752-0843 | |
Daniel J Zinkus, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 55 Lake Ave N, Worcester, MA 01655 Phone: 774-443-7552 Fax: 774-441-6086 | |
Rachel Anderson, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 123 Summer St, Worcester, MA 01608 Phone: 508-363-5000 | |
Kyle Fernandez, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 55 Lake Ave N, Worcester, MA 01655 Phone: 508-334-8515 Fax: 508-334-6490 | |
Marie L Gut, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 55 Lake Ave N, Department Of Orthopedics, Worcester, MA 01655 Phone: 508-334-2372 Fax: 508-334-3408 | |
Keith A Beals, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 123 Summer St, Worcester, MA 01608 Phone: 508-363-5000 | |
Lynn Galvin, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 585 Lincoln St, Worcester, MA 01605 Phone: 800-464-9555 |