Meaghan Jillian Serra, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA4469 Issued in MA

Practice address

271 Carew St
Springfield, MA 01104-2377

Phone

(413) 748-9137

Fax

(413) 452-6049

NPI assigned

Oct 9, 2012

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Neh Healthcare LLC

  • Internal Medicine Physician
  • Worcester, MA
  • NPI 1043037096
  Medicare reassignment NPD
• Mercy Inpatient Medical Associates Inc.

  • Internal Medicine Physician
  • Springfield, MA
  • NPI 1407845282
  Medicare reassignment
• New England Hospitalists PC

  • Internal Medicine Physician
  • Worcester, MA
  • NPI 1487803052
  Medicare reassignment
• On Call Urgent Care, LLC

  • Urgent Care Clinic/Center
  • Northampton, MA
  • NPI 1447495494
  Medicare reassignment
• Vituity-Massachusetts PLLC

  • Emergency Medicine Physician
  • Springfield, MA
  • NPI 1083404313
  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1349740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349740800000",
    "number": "1174875579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98 MONROE ST",
            "city": "AGAWAM",
            "state": "MA",
            "postal_code": "010013206",
            "telephone_number": "413-348-0024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "271 CAREW ST",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011042377",
            "telephone_number": "413-748-9137",
            "fax_number": "413-452-6049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERRA",
        "first_name": "MEAGHAN",
        "middle_name": "JILLIAN",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-09",
        "last_updated": "2012-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "PA4469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Manikandan Seralathan, MD
• Serenity Care Adult Day Health
• Serenity Path Counseling & Consulting LLC
• Tiffany M Sermini, MSW
• Jenna Serra
• Teresa Serrano-Acosta
• Kailyn Alexa Serrano-Rivera, KAY
• Francisco Serrano, DC
• Glenda Masin Serrano
• Jaime Serrano

• Physician Assistant in Springfield, MA
• Providers in Springfield, MA by specialty
• Physician Assistant in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.