| Chestnut Medical Associates, Inc | |
|
300 Birnie Ave Ste 102 Springfield MA 01107-1107 | |
| (413) 734-4206 | |
| (413) 737-8882 |
| Full Name | Chestnut Medical Associates, Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 300 Birnie Ave, Springfield, Massachusetts |
| Authorized Official Name and Position | John A Egelhofer (PRESIDENT) |
| Authorized Official Contact | 4137344206 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Chestnut Medical Associates, Inc 300 Birnie Ave Ste 102 Springfield MA 01107-1107 Ph: (413) 734-4206 | Chestnut Medical Associates, Inc 300 Birnie Ave Ste 102 Springfield MA 01107-1107 Ph: (413) 734-4206 |
| NPI Number | 1679565543 |
|---|---|
| Provider Enumeration Date | 08/17/2005 |
| Last Update Date | 04/25/2008 |
| Medicare PECOS PAC ID | 5698718245 |
|---|---|
| Medicare Enrollment ID | O20050606000517 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679565543 | NPI | - | NPPES |
| 9786694 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | David R Fanti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396737904 PECOS PAC ID: 8820082456 Enrollment ID: I20040414001113 |
| Provider Name | Suzanne T Jorey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730157298 PECOS PAC ID: 4789632399 Enrollment ID: I20050316000587 |
| Provider Name | Katherine Waterman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962767905 PECOS PAC ID: 5597916288 Enrollment ID: I20121106000005 |
| Provider Name | Andrea K Leger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760947410 PECOS PAC ID: 7012250269 Enrollment ID: I20190510000736 |
| Provider Name | Elina Morozov |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982900874 PECOS PAC ID: 8022348705 Enrollment ID: I20190923002491 |
| Provider Name | Barbara Saykin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427633148 PECOS PAC ID: 7618385998 Enrollment ID: I20210427000750 |
| Provider Name | Jennifer Lynn Mcmartin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134791155 PECOS PAC ID: 4981085867 Enrollment ID: I20220725000439 |
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