| Sheryl Derderian, NP | |
|
46 Daggett Drive, West Springfield, MA 01089 | |
| (413) 794-9110 | |
| (413) 794-9116 |
| Full Name | Sheryl Derderian |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 33 Years |
| Location | 46 Daggett Drive, West Springfield, Massachusetts |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801976352 | NPI | - | NPPES |
| 500025819 | Other | MA | RAILROAD MEDICARE |
| NP1137 | Other | MA | CONNECTICARE |
| 0344061 | Medicaid | MA | |
| NP1137 | Other | MA | BLUE CROSS |
| Facility Name | Location | Facility Type |
|---|---|---|
| Baystate Home Health | Springfield, MA | Home health agency |
| Baystate Medical Center | Springfield, MA | Hospital |
| Baystate Noble Hospital | Westfield, MA | Hospital |
| Baystate Wing Hospital | Palmer, MA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Baystate Medical Practices Inc | 5991602971 | 1008 |
| 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 |
|---|---|
| Sheryl Derderian, NP 280 Chestnut Street, 2nd Floor, Springfield, MA 01199 Ph: (413) 794-5700 | Sheryl Derderian, NP 46 Daggett Drive, West Springfield, MA 01089 Ph: (413) 794-9110 |
Ashley Bullen, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 103 Myron St, Suite A, West Springfield, MA 01089 Phone: 413-592-1980 Fax: 413-439-0100 | |
Alicia Lee Michonski, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 373 Park St, West Springfield, MA 01089 Phone: 413-734-1001 | |
Heather Ashley Lomax, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 46 Daggett Dr, West Springfield, MA 01089 Phone: 413-794-9110 Fax: 413-794-1080 | |
Ms. Jessica Marie Lafleche, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 46 Daggett Dr, West Springfield, MA 01089 Phone: 413-794-9110 Fax: 413-794-1080 | |
Mary Louise Ritter, A.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 46 Daggett Dr, Suite 3b, West Springfield, MA 01089 Phone: 413-747-4544 | |
Chelsea Skaza, NP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 50 Union St, West Springfield, MA 01089 Phone: 413-732-0040 Fax: 413-732-7007 | |
Jorge Stuart Carrillo, DNP - FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 54 New Bridge St, West Springfield, MA 01089 Phone: 413-335-9948 |