GENESIS ELDERCARE PHYSICIAN SERVICES LLC
NPI 1104819259
Internal Medicine - Geriatric Medicine in Agawam, MA
NPI Status: Active since August 24, 2005
Contact Information
464 MAIN ST
HERITAGE HALL EAST
AGAWAM, MA
ZIP 01001
Phone: (413) 786-8000
Fax: (413) 789-1099
- Organization
- Internal Medicine
- Geriatric Medicine
- Accepts Insurance
About GENESIS ELDERCARE PHYSICIAN SERVICES LLC
This page provides the complete NPI Profile along with additional information for Genesis Eldercare Physician Services Llc, an internist established in Agawam, Massachusetts operating as a Internal Medicine, focusing in geriatric medicine . The healthcare provider is registered in the NPI registry with number 1104819259 assigned on August 2005. The practitioner's primary taxonomy code is 207RG0300X with license number 75866 (MA). The provider is registered as an organization and their NPI record was last updated 6 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Eric Shapiro (Vp, Controller)
- NPI
- 1104819259
- Provider Name
- GENESIS ELDERCARE PHYSICIAN SERVICES LLC
- Entity Type
- Organization
- Location Address
- 464 MAIN ST HERITAGE HALL EAST AGAWAM, MA 01001
- Location Phone
- (413) 786-8000
- Location Fax
- (413) 789-1099
- Mailing Address
- PO BOX 62946 BALTIMORE, MD 21264
- Mailing Phone
- (410) 494-7607
- Mailing Fax
- (413) 789-1099
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-24-2005
- Last Update Date
- 08-05-2019
- Code Navigator
An internist like Genesis Eldercare Physician Services Llc is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Internal Medicine Geriatric Medicine
- Taxonomy Code
- 207RG0300X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 75866
- License State
- MA
- Taxonomy Description
- An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze 2 Advanced HSA: Aetna network + CVS Health Virtual Primary Care - EPO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Bronze 4 Advanced: Aetna network + $0 CVS Health Virtual Primary Care - EPO
- Bronze 4 Advanced: Aetna network + $0 CVS Health Virtual Primary Care + Adult Dental + Vision - EPO
- Bronze S: Aetna network + $0 CVS Health Virtual Primary Care - EPO
- Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 walk-in clinic + Adult Dental + Vision - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Gold 3 Advanced: Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 - HMO
- Gold 3 Advanced: Aetna network + $0 walk-in clinic + Adult Dental + Vision - HMO
- Gold 4 Advanced: $0 PCP + Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 - HMO
- Gold S: Aetna network + $0 CVS Health Virtual Primary Care - EPO
- Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold S: Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 9770917 | MEDICAID (05) | MA |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 0 | 4 | 8 | 1 | 9 | 2 | 5 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 0 | 4 | 16 | 1 | 18 | 2 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 0 + 4 + 1 + 6 + 1 + 1 + 8 + 2 + 1 + 0 + 24 = 51 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 51 = 9 | 9 | ||||||||
The NPI number 1104819259 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1972628550 | PAULO AFONSO PT Individual | Physical Therapist | 464 MAIN ST AGAWAM, MA 01001 (413) 786-8000 |
| 1396860102 | DIANE M BELL MS PT Individual | Physical Therapist | 464 MAIN ST AGAWAM, MA 01001 (413) 786-8000 |
| 1568587319 | MS. MICHELLE M STEVENS OTR Individual | Occupational Therapist | 464 MAIN ST AGAWAM, MA 01001 (413) 786-8000 |
| 1720103492 | CLAUDIA A DIXON PT Individual | Physical Therapist | 464 MAIN ST AGAWAM, MA 01001 (413) 786-8000 |
| 1982729653 | MRS. KIMBERLY A. DEWEY CCC-SLP Individual | Speech-Language Pathologist | 464 MAIN ST AGAWAM, MA 01001 (413) 786-8000 |
| 1952426637 | SUZANNE LOUISE CUNNINGHAM OTR Individual | Occupational Therapist | 464 MAIN ST AGAWAM, MA 01001 (413) 786-8000 |
| 1144345851 | MS. JOSEPHINE HAPGOOD PTA Individual | Physical Therapy Assistant | 464 MAIN ST AGAWAM, MA 01001 (413) 786-8000 |
| 1942325659 | DEBRA ANN GOODREAU PTA Individual | Physical Therapy Assistant | 464 MAIN ST AGAWAM, MA 01001 (413) 786-8000 |
| 1972628691 | CHRISTOPHER A CHRISANTHOPOULOS P.T.A. Individual | Physical Therapy Assistant | 464 MAIN ST AGAWAM, MA 01001 (413) 786-8000 |
| 1275658916 | MISS KATHLEEN MARIE CARTIER DPT Individual | Physical Therapist | 464 MAIN ST AGAWAM, MA 01001 (413) 786-8000 |
| 1851416366 | LINDA ANN PEZZINI OTR Individual | Occupational Therapist | 464 MAIN ST AGAWAM, MA 01001 (413) 786-8000 |
| 1942327309 | MS. MICHELLE RUTH ROY OTA Individual | Occupational Therapy Assistant | 464 MAIN ST AGAWAM, MA 01001 (413) 786-8000 |
| 1679690853 | MS. DEBRA LEE GERMAIN COTA Individual | Occupational Therapy Assistant | 464 MAIN ST AGAWAM, MA 01001 (413) 786-8000 |
| 1174646798 | MS. SHARON MARIE DOWD OTR Individual | Occupational Therapist | 464 MAIN ST AGAWAM, MA 01001 (413) 786-8000 |
| 1639393838 | MRS. ALICEMAE BELL PT Individual | Physical Therapist | 464 MAIN ST AGAWAM, MA 01001 (413) 786-8000 |
| 1083839948 | MRS. KARA A PHILLIPS PTA Individual | Physical Therapy Assistant | 464 MAIN ST AGAWAM, MA 01001 (413) 786-8000 |
| 1114144573 | DONNA ELLEN DORANS OTR Individual | Occupational Therapist | 464 MAIN ST AGAWAM, MA 01001 (413) 786-8000 |
| 1679772305 | MRS. TRACY RENEE CERASUOLO MSPT Individual | Physical Therapist | 464 MAIN ST AGAWAM, MA 01001 (413) 786-8000 |
| 1952649501 | SARA SLOZAK Individual | Occupational Therapist | 464 MAIN ST AGAWAM, MA 01001 (413) 786-8000 |
| 1508085986 | KATHLEEN GODDARD PT Individual | Physical Therapist | 464 MAIN ST AGAWAM, MA 01001 (413) 306-6687 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104819259, enumerated in the NPI registry as an "organization" on August 24, 2005
The provider is located at 464 Main St Heritage Hall East Agawam, Ma 01001 and the phone number is (413) 786-8000
This medical organization specializes in Internal Medicine with taxonomy code 207RG0300X with a focus in Geriatric Medicine
The provider might be accepting Accepts: Aetna CVS Health, BannerAetna, Medicare and. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on August 24, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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