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Katie Jean Young

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

759 Chestnut St, Springfield, MA 01199-1619

PECOS Enrollment

This provider is enrolled in PECOS as KATIE YOUNG.

Based on the most recent information from CMS, provider Katie Jean Young is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1073921847
Provider Type
Individual
Full Name
Young, Katie Jean
Title
Ms.
Credential
PA-C

Gender
Female
Sole Proprietor
No
Enumeration Date
7/24/2014
Last Updated
1/13/2021

Contact Information

Practice Location

759 Chestnut St, Springfield, MA 01199-1619

(413) 794-3233

Unlisted Fax

Mailing Location

280 Chestnut Street, 2nd Fl, Springfield, MA 01199-1001

(413) 794-5700

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363AM0700X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License PA5087 Massachusetts
Code 363AM0700X	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License 23.003123 Connecticut

Katie Jean Young

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Foster, Bethany B.

Favata, Louis Patrick

Wojcik, John S

Pedigo, Kimberly A

Regan, Erin K

Hamadeh, Zeina

Chaplin, Kristin

Sprague, Roxanne R

Gaudet, Claudia J

Albano, Katelyn