GUERLINE GABRIELLE MENARD PA-C
NPI 1255608162
Physician Assistant in Norwell, MA
NPI Status: Active since November 20, 2011
- Individual
- Female
- Years of Experience 15
- Physician Assistant
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
About GUERLINE MENARD
This page provides the complete NPI Profile along with additional information for Guerline Menard, a primary care provider established in Norwell, Massachusetts with a medical specialization in Physician Assistant and more than 15 years of experience. The healthcare provider is registered in the NPI registry with number 1255608162 assigned on November 2011. The practitioner's primary taxonomy code is 363A00000X with license number PA4294 (MA). The provider is registered as an individual and her NPI record was last updated 11 years ago.
- NPI
- 1255608162
- Provider Name
- GUERLINE GABRIELLE MENARD PA-C
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 143 LONGWATER DR NORWELL, MA 02061
- Location Phone
- (781) 878-5200
- Mailing Address
- 143 LONGWATER DR NORWELL, MA 02061
- Mailing Phone
- (781) 878-5200
- Medical School Name
- OTHER
- Graduation Year
- 2011
- Is Sole Proprietor?
- No
- Enumeration Date
- 11-20-2011
- Last Update Date
- 02-13-2014
- Code Navigator
A primary care provider (PCP) like Guerline Menard sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, 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
Physician Assistant
- Taxonomy Code
- 363A00000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- PA4294
- License State
- MA
- Taxonomy Description
- A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Anthem Bronze Access Blue New England HMO 5000/10%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 5000/20%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 6500/30%/9200 Value - HMO
- Anthem Bronze Access Blue New England HMO 7000/50%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 8500/50%/9200 - HMO
- Anthem Gold Access Blue New England HMO 1000/20%/7500 - HMO
- Anthem Gold Access Blue New England HMO 2000/0%/6500 RxD - HMO
- Anthem Gold Access Blue New England HMO 2000/10%/4600 w/HSA - HMO
- Anthem Gold Access Blue New England HMO 2000/10%/7500 - HMO
- Anthem Gold Access Blue New England HMO 2000/20%/4600 w/HSA - HMO
- Anthem Gold Access Blue New England HMO 3000/0%/5500 RxD - HMO
- Anthem Gold Access Blue New England HMO 500/25%/7000 - HMO
- Anthem Platinum Access Blue New England HMO 250/10%/3500 - HMO
- Anthem Silver Access Blue New England HMO 2000/30%/9000 Value - HMO
- Anthem Silver Access Blue New England HMO 3000/20%/8500 - HMO
- Anthem Silver Access Blue New England HMO 3000/30%/9000 Value - HMO
- Anthem Silver Access Blue New England HMO 3500/20%/7250 w/HSA - HMO
- Anthem Silver Access Blue New England HMO 4000/0%/8500 - HMO
- Anthem Silver Access Blue New England HMO 4000/0%/8500 RxD - HMO
- Anthem Silver Access Blue New England HMO 4000/10%/7250 w/HSA - 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.
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 |
|---|---|---|---|
| 04-2297845 | OTHER (01) | TRICARE | |
| 04-2297845 | OTHER (01) | UNITED HEALTH CARE |
Medicare Participation & PECOS Enrollment Status
Guerline Menard is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Guerline Menard is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 4789842097
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20120215000962
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Administration of influenza virus vaccine
Administration of pneumococcal vaccine
Annual depression screening, 15 minutes
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit
Blood glucose (sugar) level
Blood test, basic group of blood chemicals (calcium, total)
Blood test, comprehensive group of blood chemicals
Established patient office or other outpatient visit, 20-29 minutes
Established patient office or other outpatient visit, 30-39 minutes
Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage
Insertion of needle into vein for collection of blood sample
Manual urinalysis test with examination using microscope, automated
Routine electrocardiogram (ecg) using at least 12 leads with tracing
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
This service was performed 38 times for 38 patientsThe pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.
This service was performed 13 times for 13 patientsAn annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
This service was performed 16 times for 16 patientsAn annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
This service was performed 88 times for 88 patientsAn annual wellness visit is a yearly appointment with your doctor to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's an opportunity to discuss your health status and goals and get a plan tailored for you.
This service was performed 17 times for 17 patientsA blood glucose level test measures the amount of sugar in your blood. It's often used to monitor and manage conditions like diabetes. High or low levels can indicate a health issue. The test is usually done by pricking your finger for a small blood sample.
This service was performed 28 times for 24 patientsA basic group blood test measures the levels of certain chemicals in your blood, including calcium. This helps assess your overall health and detect potential problems. The procedure involves drawing a small amount of blood from your arm, which is then analyzed in a lab.
This service was performed 68 times for 59 patientsA comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
This service was performed 18 times for 18 patientsThis is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
This service was performed 91 times for 81 patientsThis is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
This service was performed 91 times for 74 patientsThe quadrivalent inactivated influenza vaccine is a shot given to protect against four strains of the flu virus. This 0.5 ml dosage helps your body develop immunity to the virus. It's an important step in preventing flu-related complications.
This service was performed 35 times for 35 patientsThis procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
This service was performed 155 times for 122 patientsA manual urinalysis test with automated microscopic examination is a lab process that checks your urine for health indicators. It involves a machine scanning your sample to identify any abnormal elements, which can assist in diagnosing various conditions.
This service was performed 21 times for 18 patientsAn Electrocardiogram (ECG) is a simple, painless test that records the heart's electrical activity. Using 12 leads attached to your skin, it generates a tracing of your heart rhythm. It helps detect any heart problems by showing the timing and strength of electrical signals passing through each part of your heart.
This service was performed 14 times for 14 patientsPhysician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $22.67 for a new patient copayment and $18.3 for an established patient copayment.
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 02061 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $90.7
- Minimum New Patient Price $58.86
- Maximum New Patient Price $177.36
- Average New Patient Copayment $22.67
- Minimum New Patient Copayment $14.71
- Maximum New Patient Copayment $44.34
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $73.22
- Minimum Established Patient Price $19.11
- Maximum Established Patient Price $144.84
- Average Established Patient Copayment $18.3
- Minimum Established Patient Copayment $4.77
- Maximum Established Patient Copayment $36.21
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Find Provider Hospital Affiliations - Privileges
Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.
Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Guerline Menard is affiliated with the following medical facilities:
| Hospital Name | Address | Phone | Hospital Type | Overall Rating |
|---|---|---|---|---|
| BETH ISRAEL DEACONESS HOSPITAL PLYMOUTH | 275 SANDWICH STREET PLYMOUTH, MA 02360 | (508) 746-2000 | Acute Care Hospitals |
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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 | 2 | 5 | 5 | 6 | 0 | 8 | 1 | 6 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 10 | 5 | 12 | 0 | 16 | 1 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 1 + 0 + 5 + 1 + 2 + 0 + 1 + 6 + 1 + 1 + 2 + 24 = 48 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 50 - 48 = 2 | 2 | ||||||||
The NPI number 1255608162 is valid because the calculated check digit 2 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 |
|---|---|---|---|
| 1558681445 | DR. AMARA LEE MULDER M.D. Individual | Internal Medicine | 143 LONGWATER DR NORWELL, MA 02061 (781) 878-5200 |
| 1578560488 | SCOTT P. CORKINS MD Individual | Family Medicine | 143 LONGWATER DR SOUTH SHORE MEDCAL CENTER, INC NORWELL, MA 02061 (781) 878-5200 |
| 1871583740 | CHRISTOPHER R COX DO Individual | Pediatrics | 143 LONGWATER DR NORWELL, MA 02061 (781) 878-5200 |
| 1942291075 | JAMES R COX MD Individual | Pediatrics | 143 LONGWATER DR NORWELL, MA 02061 (781) 878-5200 |
| 1396736062 | DR. EDWARD W NALBAND MD Individual | Internal Medicine | 143 LONGWATER DR NORWELL, MA 02061 (781) 878-5200 |
| 1447231485 | DR. SARA J NUCIFORO MD Individual | Internal Medicine | 143 LONGWATER DR NORWELL, MA 02061 (781) 878-5200 |
| 1649251406 | DR. TERI LOU MINER DO Individual | Family Medicine | 143 LONGWATER DR NORWELL, MA 02061 (781) 878-5200 |
| 1821070897 | DR. MICHELE K MUDGETT MD Individual | Internal Medicine | 143 LONGWATER DR NORWELL, MA 02061 (781) 878-5200 |
| 1912989492 | DR. ROBERT C KASABIAN MD Individual | Internal Medicine | 143 LONGWATER DR NORWELL, MA 02061 (781) 878-5200 |
| 1659357689 | DAVID A HALLE M.D. Individual | Internal Medicine | 143 LONGWATER DR NORWELL, MA 02061 (781) 878-5200 |
| 1316956675 | DR. MATTHEW R HJORT MD Individual | Pediatrics | 143 LONGWATER DR NORWELL, MA 02061 (781) 878-5200 |
| 1245498211 | DR. KAREN CHOONG Individual | Internal Medicine (Endocrinology, Diabetes & Metabolism) | 143 LONGWATER DR NORWELL, MA 02061 (781) 878-5200 |
| 1770741613 | DR. SUSAN CLINTON MARTIN M.D. Individual | Pediatrics | 143 LONGWATER DR NORWELL, MA 02061 (781) 878-5200 |
| 1104086107 | JOYCE IMAHIYEROBO Individual | Dermatology | 143 LONGWATER DR NORWELL, MA 02061 (781) 878-5200 |
| 1932336062 | DR. SUSAN SWORDS M.D. Individual | Internal Medicine | 143 LONGWATER DR NORWELL, MA 02061 (781) 878-5200 |
| 1720198054 | MISS EMILY ANNA DIONNE MS, RD, LDN Individual | Dietitian, Registered | 143 LONGWATER DR NORWELL, MA 02061 (781) 878-5200 |
| 1164838926 | ERIN M ANDERSON PA Individual | Physician Assistant | 143 LONGWATER DR NORWELL, MA 02061 (781) 878-5200 |
| 1952374951 | KRISTINE A RUZYCKI APRN BC Individual | Nurse Practitioner (Adult Health) | 143 LONGWATER DR NORWELL, MA 02061 (781) 878-5200 |
| 1396097135 | CHRISTINE ROSE SABA ANP Individual | Nurse Practitioner (Adult Health) | 143 LONGWATER DR NORWELL, MA 02061 (781) 878-5200 |
| 1679557987 | JENNIFER CATHERINE AMON CPNP Individual | Nurse Practitioner (Pediatrics) | 143 LONGWATER DR NORWELL, MA 02061 (781) 878-5200 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1255608162, enumerated in the NPI registry as an "individual" on November 20, 2011
The provider is located at 143 Longwater Dr Norwell, Ma 02061 and the phone number is (781) 878-5200
The provider's speciality is Physician Assistant with taxonomy code 363A00000X
The provider has more than 15 years of experience.
The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Tricare,. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $90.7 with an average copayment of $22.67 for new patient appointments. Established patients should expect a typical charge of $73.22 and an average copayment of 18.3. Please review your insurance plan or contact the provider directly to determine your specific costs.
The most common procedures or services performed by this practitioner are: Administration of influenza virus vaccine, Administration of pneumococcal vaccine, Annual depression screening, 15 minutes, Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit, Blood glucose (sugar) level, Blood test, basic group of blood chemicals (calcium, total), Blood test, comprehensive group of blood chemicals, Established patient office or other outpatient visit, 20-29 minutes, Established patient office or other outpatient visit, 30-39 minutes, Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage, Insertion of needle into vein for collection of blood sample, Manual urinalysis test with examination using microscope, automated and Routine electrocardiogram (ecg) using at least 12 leads with tracing.
The practitioner is affiliated to the following hospital(s): BETH ISRAEL DEACONESS HOSPITAL PLYMOUTH. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.
This NPI record was last updated on November 20, 2011. 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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