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Jake Anthony Carvalho

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

759 Chestnut St, Springfield, MA 01199-1001

PECOS Enrollment

This provider is enrolled in PECOS as JAKE CARVALHO.

Based on the most recent information from CMS, provider Jake Anthony Carvalho 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
1518525864
Provider Type
Individual
Full Name
Carvalho, Jake Anthony
Credential
PA

Gender
Male
Sole Proprietor
No
Enumeration Date
6/2/2019
Last Updated
6/2/2019

Contact Information

Practice Location

759 Chestnut St, Springfield, MA 01199-1001

(413) 794-0000

Unlisted Fax

Mailing Location

280 Chestnut St Fl 2, 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 Unlisted Issuer Massachusetts

Jake Anthony Carvalho

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Legrand, Annemarie

Young, Katie Jean

Meckel, Marie

Bourgeault, Brian

Favata, Louis Patrick

Hogan, Karen

Hamadeh, Zeina

Dauley, Patricia A

Lapointe, Allison

Oborne, Thomas