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Kristen Ashe Ventriglia

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

759 Chestnut St # Wg820, Springfield, MA 01199-1001

PECOS Enrollment

This provider is enrolled in PECOS as KRISTEN VENTRIGLIA.

Based on the most recent information from CMS, provider Kristen Ashe Ventriglia 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
1811622756
Provider Type
Individual
Full Name
Ventriglia, Kristen Ashe
Credential
PA

Gender
Female
Sole Proprietor
No
Enumeration Date
7/22/2022
Last Updated
11/15/2022

Contact Information

Practice Location

759 Chestnut St # Wg820, Springfield, MA 01199-1001

(413) 794-5307

(413) 794-8430

Mailing Location

280 Chestnut St Fl 2, Springfield, MA 01104-3563

(413) 794-5700

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363AM0700X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License PA8916 Massachusetts

Kristen Ashe Ventriglia

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Gioranino, Gina M

Fisher, Rebecca A

Burgess, Stephen

Chaplin, Kristin

Paddleford, Bonnie H

Russell, Caeli A

Binnall, Kelly M

Lacasse, Bethany L

Theriault, Linda

Pedigo, Kimberly A