Individual ProviderStephen BurgessPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address759 Chestnut St, Springfield, MA 01199-1001(413) 794-3233(413) 794-5700PECOS EnrollmentBased on the most recent information from CMS, provider Stephen Burgess does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1053412106Provider TypeIndividualFull NameBurgess, StephenCredentialPA-CGenderMaleSole ProprietorNoEnumeration Date9/25/2006Last Updated3/22/2011Contact InformationPractice LocationPractice Address759 Chestnut St, Springfield, MA 01199-1001Phone(413) 794-3233FaxUnlisted FaxMailing LocationMailing Address280 Chestnut St, 2nd Floor, Springfield, MA 01199-1000Phone(413) 794-5700FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363AM0700XPrimaryDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicense886Massachusetts