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Karen Hogan

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

3300 Main St, 3rd Floor Suite C&D, Springfield, MA 01199-1619

PECOS Enrollment

Based on the most recent information from CMS, provider Karen Hogan 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
1164837449
Provider Type
Individual
Full Name
Hogan, Karen
Credential
PA-C

Gender
Female
Sole Proprietor
No
Enumeration Date
6/25/2014
Last Updated
3/21/2015

Contact Information

Practice Location

3300 Main St, 3rd Floor Suite C&D, Springfield, MA 01199-1619

(413) 794-7394

(413) 794-7136

Mailing Location

280 Chestnut St, 2nd Fl, Springfield, MA 01199-1619

(413) 794-5700

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363AM0700X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License PA5121 Massachusetts

Karen Hogan

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Binnall, Kelly M

Paddleford, Bonnie H

Fisher, Rebecca A

Dudley, Catherine R

Yermakov, Oleg S

O'Brien, Dennis S

Sprague, Roxanne R

Dauley, Patricia A

Meckel, Marie

Arnopolin, Suzanne L