Pamela R Gervais, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

2403 Issued in MA

Practice address

45 Colpitts Rd
Weston, MA 02493-1546

Phone

(781) 642-8877

Fax

(781) 642-1117

NPI assigned

Jul 2, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: gervais.pamela.fh@direct.partners.masshiway.net

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.

• Brigham & Womens Physicians Organization Inc

  • Internal Medicine Physician
  • Boston, MA
  • NPI 1033535497
  Medicare reassignment
• Mass General Brigham Medical Group Suburban Massachusetts Inc

  • Family Medicine Physician
  • Newton, MA
  • NPI 1538191218
  Medicare reassignment
• Brigham and Womens Physicians Organization Inc

  • Diagnostic Radiology Physician
  • Boston, MA
  • NPI 1265464598
  NPD (past)
• Newton Wellesley Ambulatory Services

  dba Newton-Wellesley Sports Medicine DME

  • Durable Medical Equipment & Medical Supplies
  • Wellesley, MA
  • NPI 1740905876
  NPD (past)

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

{
    "created_epoch": "1214956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214956800000",
    "number": "1417110297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 COLPITTS RD",
            "city": "WESTON",
            "state": "MA",
            "postal_code": "024931546",
            "telephone_number": "781-642-8877",
            "fax_number": "781-642-1117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 COLPITTS RD",
            "city": "WESTON",
            "state": "MA",
            "postal_code": "024931546",
            "telephone_number": "781-642-8877",
            "fax_number": "781-642-1117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERVAIS",
        "first_name": "PAMELA",
        "middle_name": "R",
        "name_prefix": "Ms.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-02",
        "last_updated": "2008-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MA",
            "license": "2403",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN ASSISTANT LICENSE",
            "identifier": "2403",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Janet Kertis Fronk, APRNBC
• Ann Fry, LICSW
• Mailing Gaw
• Leslie Georges
• Jonathan Paull Gertler, JONATHAN GERTLER MD
• Margaret Gibbons
• Alexandra Gilles, RN
• Brecken Rae Gingras Jodice
• Carla Helene Ginsburg, M.D., M.P.H.
• Audrey Jaranilla Gloria, RN

• Medical Physician Assistant in Weston, MA
• Providers in Weston, MA by specialty
• Medical Physician Assistant in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2008; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.