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Melissa Glick

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

3300 Main St, 3rd Floor Suite C&D, Springfield, MA 01199-1002

PECOS Enrollment

Based on the most recent information from CMS, provider Melissa Glick 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
1356424550
Provider Type
Individual
Full Name
Glick, Melissa
Credential
PA-C

Gender
Female
Sole Proprietor
No
Enumeration Date
10/23/2006
Last Updated
11/1/2021

Contact Information

Practice Location

3300 Main St, 3rd Floor Suite C&D, Springfield, MA 01199-1002

(413) 794-7491

(413) 794-7136

Mailing Location

280 Chestnut St, 2nd Floor, Springfield, MA 01199-1000

(413) 794-5700

(413) 794-1629

Provider Taxonomies

Code	Description	License
Code 363AM0700X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License 1341 Massachusetts

Melissa Glick

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Fisher, Rebecca A

Binnall, Kelly M

Young, Katie Jean

Hogan, Karen

Acholonu, Ezra

Favata, Louis Patrick

Foster, Bethany B.

Russell, Caeli A

O'Brien, Dennis S

Courtney, Heidi-Ann