Geriatric Primary Care Pc | |
723 Main St Agawam MA 01001-2540 | |
(413) 374-0031 | |
(413) 384-2526 |
Full Name | Geriatric Primary Care Pc |
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Speciality | Internal Medicine |
Location | 723 Main St, Agawam, Massachusetts |
Authorized Official Name and Position | May Awkal (CEO) |
Authorized Official Contact | 8608814161 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Geriatric Primary Care Pc 723 Main St Agawam MA 01001-2540 Ph: (413) 374-0031 | Geriatric Primary Care Pc 723 Main St Agawam MA 01001-2540 Ph: (413) 374-0031 |
NPI Number | 1972349090 |
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Provider Enumeration Date | 07/08/2024 |
Last Update Date | 07/08/2024 |
Medicare PECOS PAC ID | 7315483583 |
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Medicare Enrollment ID | O20240724000883 |
Identifier | Type | State | Issuer |
---|---|---|---|
1972349090 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | May Awkal |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1316181027 PECOS PAC ID: 4981850559 Enrollment ID: I20160831000996 |
Genesis Eldercare Physician Services Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 464 Main St, Heritage Hall East, Agawam, MA 01001 Phone: 413-786-8000 Fax: 413-789-1099 | |
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 |