City of Springfield

PAC ID

8921018540The PECOS associate control ID: one enrolled organization, which may hold several NPIs

Provider type

Part A Provider - Federally Qualified Health Center (FQHC), Part B Supplier - Clinic/Group Practice, Part B Supplier - Mass Immunization (Roster Biller Only)

Enrolled in

MA

Enrollments

3

Group size

3 cliniciansAs Care Compare reports it

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice locations

3In 1 place

Enrollment records 3

These NPI records belong to the same enrolled organization. Each has its own page.

• City of Springfield

  dba Springfield Dept. of Health & Human Services

  • Community Health Clinic/Center
  • Springfield, MA
  • NPI 1962531004
• City of Springfield

  • Public Health or Welfare Agency
  • Springfield, MA
  • NPI 1992878102

Clinicians who reassign their Medicare benefits to this group (4) or whom Care Compare lists as members (3).

• Andrew H Balder, MD

  • Internal Medicine Physician
  • Springfield, MA
  • NPI 1720188832
• Eddieliza Casionan, APRN

  • Nurse Practitioner
  • Manchester, CT
  • NPI 1235714551
• Holle Garvey, NP

  • Family Nurse Practitioner
  • Springfield, MA
  • NPI 1023161171
• Mollie Moriarty Sullivan, M.ED, LMHC

  • Mental Health Counselor
  • Springfield, MA
  • NPI 1225303852

• Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
• Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
• NPPES NPI Registry: the names and addresses of the NPIs above.