| Valley Medical Associates, Pc | |
|
3640 Main St Suite 207 Springfield MA 01107-1145 | |
| (413) 739-0669 | |
| (413) 739-0621 |
| Full Name | Valley Medical Associates, Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3640 Main St, Springfield, Massachusetts |
| Authorized Official Name and Position | Cheryl M Sirard (OFFICE MANAGER) |
| Authorized Official Contact | 4137390669 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Valley Medical Associates, Pc 3640 Main St Suite 207 Springfield MA 01107-1145 Ph: (413) 739-0669 | Valley Medical Associates, Pc 3640 Main St Suite 207 Springfield MA 01107-1145 Ph: (413) 739-0669 |
| NPI Number | 1093897852 |
|---|---|
| Provider Enumeration Date | 10/20/2006 |
| Last Update Date | 07/18/2019 |
| Medicare PECOS PAC ID | 5092777300 |
|---|---|
| Medicare Enrollment ID | O20041029000261 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093897852 | NPI | - | NPPES |
| CG5880 | Other | MA | RAILROAD MEDICARE |
| 9785868 | Medicaid | MA | |
| 5129523 | Other | MA | AETNA |
| M17342 | Other | MA | BLUE CROSS |
| 000000008357 | Other | MA | BMC HEALTHNET |
| 97367701 | Other | MA | NETWORK HEALTHNET |
| 805184 | Other | MA | TUFTS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 208000000X | Pediatrics | (* (Not Available)) | Secondary |
| Provider Name | Albert Joseph Cennerazzo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528092285 PECOS PAC ID: 1759360944 Enrollment ID: I20040720000830 |
| Provider Name | Paul Helmuth |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609956085 PECOS PAC ID: 3779545090 Enrollment ID: I20050613000852 |
| Provider Name | Adam G Wychowski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003806902 PECOS PAC ID: 0143259242 Enrollment ID: I20050809000834 |
| Provider Name | Chatchai Kokar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285153866 PECOS PAC ID: 4183961345 Enrollment ID: I20201022002184 |
| Provider Name | Stefanie Baptista |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609436161 PECOS PAC ID: 2567845340 Enrollment ID: I20220811000197 |
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