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Dennis S O'Brien

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

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

PECOS Enrollment

This provider is enrolled in PECOS as DENNIS OBRIEN.

Based on the most recent information from CMS, provider Dennis S O'Brien 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
1407895956
Provider Type
Individual
Full Name
O'Brien, Dennis S
Credential
PAC

Gender
Male
Sole Proprietor
No
Enumeration Date
6/6/2006
Last Updated
12/16/2019

Contact Information

Practice Location

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

(413) 794-7033

(413) 794-7297

Mailing Location

280 Chestnut St, 2nd Floor, 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 PA4779 Massachusetts

Dennis S O'Brien

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Bourgeault, Brian

Paddleford, Bonnie H

Dudley, Catherine R

Ventriglia, Kristen Ashe

Sebastyn, Lisa A

Albano, Katelyn

Dauley, Patricia A

Meckel, Marie

Sprague, Roxanne R

Cole, Jennifer F