Genesis Eldercare Physician Services Llc - Medicare Primary Care in Agawam, MA

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Genesis Eldercare Physician Services Llc is a medicare enrolled primary clinic (Internal Medicine - Geriatric Medicine) in Agawam, Massachusetts. The current practice location for Genesis Eldercare Physician Services Llc is 464 Main St, Heritage Hall East, Agawam, Massachusetts. For appointments, you can reach them via phone at (413) 786-8000. The mailing address for Genesis Eldercare Physician Services Llc is Po Box 62946, Baltimore, Maryland and phone number is (410) 494-7607.

Genesis Eldercare Physician Services Llc is licensed to practice in Massachusetts (license number 75866). The clinic also participates in the medicare program and its NPI number is 1104819259. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (413) 786-8000.

Contact Information

Genesis Eldercare Physician Services Llc
464 Main St
Heritage Hall East
Agawam
MA 01001
(413) 786-8000
(413) 789-1099

Map and Direction


Primary Care Clinic Profile

Full NameGenesis Eldercare Physician Services Llc
SpecialityInternal Medicine
Location464 Main St, Agawam, Massachusetts
Authorized Official Name and PositionEric Shapiro (VP, CONTROLLER)
Authorized Official Contact4108327790
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Genesis Eldercare Physician Services Llc
Po Box 62946
Baltimore
MD 21264-2946

Ph: (410) 494-7607		Genesis Eldercare Physician Services Llc
464 Main St
Heritage Hall East
Agawam
MA 01001

Ph: (413) 786-8000

NPI Details:

NPI Number1104819259
Provider Enumeration Date08/24/2005
Last Update Date08/05/2019

Medicare PECOS Information:

Medicare PECOS PAC ID9830002534
Medicare Enrollment IDO20040824000702

Medical Identifiers

Medical identifiers for Genesis Eldercare Physician Services Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104819259NPI-NPPES
9770917MedicaidMA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RG0300XInternal Medicine - Geriatric Medicine 75866 (Massachusetts)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Genesis Eldercare Physician Services Llc acts as a billing entity for following providers:
Provider NameClaes M Nilsson
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1912006065
PECOS PAC ID: 2365435351
Enrollment ID: I20040406000501
Provider NameAdnan M Dahdul
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1104802362
PECOS PAC ID: 8628065299
Enrollment ID: I20040630000460
Provider NameRami A Ashkar
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1134158058
PECOS PAC ID: 6901855568
Enrollment ID: I20050120000834
Provider NameMaura J Squires
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1619982337
PECOS PAC ID: 8123067865
Enrollment ID: I20050502000782
Provider NameMaryanne O Toole
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1376623645
PECOS PAC ID: 2264477645
Enrollment ID: I20050627000280
Provider NameVivienne Yumasi
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1528242203
PECOS PAC ID: 6406938703
Enrollment ID: I20080125000175
Provider NameSaira Nisar
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1114182680
PECOS PAC ID: 1850438714
Enrollment ID: I20091026000304
Provider NameJulius Tabe
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1801093356
PECOS PAC ID: 8729104963
Enrollment ID: I20100925000052
Provider NameFabian Delgado
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1629277454
PECOS PAC ID: 4082802368
Enrollment ID: I20101230000977
Provider NameVishal Kuchaculla
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1386837342
PECOS PAC ID: 5799832853
Enrollment ID: I20110325000565
Provider NameJulie Mcgondel
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1487924445
PECOS PAC ID: 4789847369
Enrollment ID: I20120517000453
Provider NameJatinder Aujla
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1275700825
PECOS PAC ID: 7214000207
Enrollment ID: I20121226000197
Provider NameNelson K Aweh
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1891923199
PECOS PAC ID: 0749423507
Enrollment ID: I20130826000835
Provider NameAmanda Hernandez
Provider TypePractitioner - Geriatric Medicine
Provider IdentifiersNPI Number: 1891062691
PECOS PAC ID: 4880847102
Enrollment ID: I20130910000234
Provider NameSamila Francois
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1134588106
PECOS PAC ID: 6305137779
Enrollment ID: I20160615002610
Provider NameMichael Joseph Mentakis
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1811988033
PECOS PAC ID: 7416987763
Enrollment ID: I20161017000292
Provider NameStephen Vanderels
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1336507193
PECOS PAC ID: 6709165343
Enrollment ID: I20161122001432
Provider NamePeterson Remy
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1972059665
PECOS PAC ID: 1052682515
Enrollment ID: I20170802002510
Provider NameMarc Evarist Aube
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1306326400
PECOS PAC ID: 9739430919
Enrollment ID: I20180927000940
Provider NameLianna Partee
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1750936126
PECOS PAC ID: 9234568718
Enrollment ID: I20200403002297
Provider NameElizabeth Dow
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1962157537
PECOS PAC ID: 7719365097
Enrollment ID: I20220526002006
Provider NameCharles H Ondobo
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1861929465
PECOS PAC ID: 5698044550
Enrollment ID: I20220929000577
Provider NameVictor Okwukaogu
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1578287546
PECOS PAC ID: 2466814587
Enrollment ID: I20230821003341

Reviews and Comments


Internal Medicine in Agawam, MA

Internal Medicine Pc
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 377 Walnut Street Extension, Agawam, MA 01001
Phone: 413-786-7217    Fax: 413-786-7219
Geriatric Primary Care Pc
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 723 Main St, Agawam, MA 01001
Phone: 413-374-0031    Fax: 413-384-2526

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.