Look up the most recent NPI and PECOS records

Carolyn Rose Burnham

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

299 Carew St Ste 234, Springfield, MA 01104-2368

PECOS Enrollment

This provider is enrolled in PECOS as CAROLYN BURNHAM.

Based on the most recent information from CMS, provider Carolyn Rose Burnham 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
1790527349
Provider Type
Individual
Full Name
Burnham, Carolyn Rose
Credential
PA-C

Gender
Female
Sole Proprietor
No
Enumeration Date
6/12/2024
Last Updated
7/8/2024

Contact Information

Practice Location

299 Carew St Ste 234, Springfield, MA 01104-2368

(413) 787-2575

Unlisted Fax

Mailing Location

98 Shaker Rd, East Longmeadow, MA 01028-2731

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363AM0700X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License Unlisted Issuer

Carolyn Rose Burnham

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Gregor, Rebecca Leanne

Wilson, Sarah V

Georgantas, Natalee Shea

Carra, Nicholas

Ramirez, Dilan

Naughton, Laurie Z.

Akcam, Sevilay

Pecoy, Elizabeth

Reinhard, Collin Kiefer

Hurley, John Edward