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Roxanne R Sprague

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

759 Chestnut Street, Springfield, MA 01199

PECOS Enrollment

This provider is enrolled in PECOS as ROXANNE SPRAGUE.

Based on the most recent information from CMS, provider Roxanne R Sprague is legally eligible to order and refer claims for DME and PMD services only.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1194901538
Provider Type
Individual
Full Name
Sprague, Roxanne R
Credential
PA-C

Gender
Female
Sole Proprietor
No
Enumeration Date
1/16/2008
Last Updated
3/18/2011

Contact Information

Practice Location

759 Chestnut Street, Springfield, MA 01199

(413) 794-3233

Unlisted Fax

Mailing Location

280 Chestnut Street, 2nd Floor, Springfield, MA 01199

(413) 794-5700

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363AM0700X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License 3711 Massachusetts

Roxanne R Sprague

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Lacasse, Bethany L

Dauley, Patricia A

Courtney, Heidi-Ann

Gaudet, Claudia J

Albano, Katelyn

Ventriglia, Kristen Ashe

Acholonu, Ezra

Meckel, Marie

Fisher, Rebecca A

Burgess, Stephen