Individual ProviderSamantha Mira ObrienPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address271 Carew St, Springfield, MA 01104-2377(413) 748-9670PECOS EnrollmentBased on the most recent information from CMS, provider Samantha Mira Obrien does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 11:47 AM.Profile DetailsProvider ID1932910601Provider TypeIndividualFull NameObrien, Samantha MiraGenderFemaleSole ProprietorNoEnumeration Date1/14/2025Last Updated1/14/2025Contact InformationPractice LocationPractice Address271 Carew St, Springfield, MA 01104-2377Phone(413) 748-9670FaxUnlisted FaxMailing LocationMailing Address271 Carew St, Springfield, MA 01104-2377Phone(413) 748-9670FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363AM0700XPrimaryDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicenseUnlisted IssuerMassachusetts