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Natalee Shea Georgantas

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

PECOS Enrollment

This provider is enrolled in PECOS as NATALEE GEORGANTAS.

Based on the most recent information from CMS, provider Natalee Shea Georgantas is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 11:47 AM.

Profile Details

Provider ID
1326391707
Provider Type
Individual
Full Name
Georgantas, Natalee Shea
Title
Ms.
Credential
PA-C

Gender
Female
Sole Proprietor
Yes
Enumeration Date
10/22/2012
Last Updated
8/13/2018

Contact Information

Practice Location

271 Carew St, Springfield, MA 01104

(413) 748-9000

Unlisted Fax

Mailing Location

271 Carew St, Springfield, MA 01104-2377

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363AM0700X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License 4468 Massachusetts

Natalee Shea Georgantas

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Lafond, Patrick N

Obrien, Samantha Mira

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Pope, Lyndsey Rose

Ramirez, Dilan

Wilson, Sarah V

Greaney, Shannon Patricia

Maheu, Lisa A

Pecoy, Elizabeth

Hurley, John Edward