Ingrid E Statz (NPI# 1619077864, PAC ID# 3678520210) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1619077864 |
| PAC ID by PECOS | 3678520210 |
| Professional Enrollment ID | I20050405001223 |
| Full Name | Ingrid E Statz |
| Organization Legal Name | BAYSTATE MEDICAL PRACTICES INC |
| Address |
11 Wilbraham Rd Baystate Mason Square Springfield MA 01109-3161 |
| Phone Number | 4137943710 |
| Gender | F |
| Credential | MD |
| Medical School | TUFTS UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1985 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 5991602971 |
| Number of Group Practice Members | 815 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 220077 | BAYSTATE MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 11 Wilbraham Rd, Baystate Mason Square, Springfield, MA 01109-3161 | 4137943710 | BAYSTATE MEDICAL PRACTICES INC |
| 11 Wilbraham Rd, Springfield, MA 01109-3161 | 4137943710 | BAYSTATE MEDICAL PRACTICES INC |
| 759 Chestnut St, Springfield, MA 01199-1001 | BAYSTATE MEDICAL PRACTICES INC |
| Organization Legal Name | BAYSTATE MEDICAL PRACTICES INC |
| Physicians | 1018 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Peter B Koppenheffer | Family Medicine | Baystate Medical Practices Inc | 48 Sanderson St, Greenfield, MA 01301-2778 |
| Mehak Ali | Hospitalist | Baystate Medical Practices Inc | 759 Chestnut St, Springfield, MA 01199-1001 |
| Kamila Szweda | Nurse Practitioner | Baystate Medical Practices Inc | 24 N Westfield St, Feeding Hills, MA 01030-1606 |
| Kathryn A Jobbins | Internal Medicine | Baystate Medical Practices Inc | 140 High St, Springfield, MA 01105-1442 |
| Karen R Darley | Clinical Social Worker | Baystate Medical Practices Inc | 2344 Boston Rd, Wilbraham, MA 01095-1104 |
| Erin Mary Ferraro | Nurse Practitioner | Baystate Medical Practices Inc | 21 Dwight Rd, Longmeadow, MA 01106-1765 |
| Rulour B Torio | Internal Medicine | Baystate Medical Practices Inc | 57 Union St, Westfield, MA 01085-2658 |
| Amanda J Kravetz | Vascular Surgery | Baystate Medical Practices Inc | 3500 Main St, Springfield, MA 01107-1137 |
| Mary T Paterno | Certified Nurse Midwife (cnm) | Baystate Medical Practices Inc | 164 High St, Greenfield, MA 01301-2613 |
| Oscar Martinez | Obstetrics/gynecology | Baystate Medical Practices Inc | 85 S St, Bay State, Ware, MA 01082-1625 |
| Street Address |
11 WILBRAHAM RD BAYSTATE MASON SQUARE |
| City | SPRINGFIELD |
| State | MA |
| Zip | 01109-3161 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jamilah A Alexander | Physician Assistant | Baystate Medical Practices Inc | 11 Wilbraham Rd, Baystate Mason Square, Springfield, MA 01109-3161 |
| Julie Lebel Bordua | Nurse Practitioner | Baystate Medical Practices Inc | 11 Wilbraham Rd, Baystate Mason Square, Springfield, MA 01109-3161 |
| Melissa J Miles | Physician Assistant | Baystate Medical Practices Inc | 11 Wilbraham Rd, Baystate Mason Square, Springfield, MA 01109-3161 |
| Amanda A Westlake | Internal Medicine | Baystate Medical Practices Inc | 11 Wilbraham Rd, Baystate Mason Square, Springfield, MA 01109-3161 |
| Daniel E Bausch | Optometry | 11 Wilbraham Rd, Springfield, MA 01109-3161 | |
| Erin Elizabeth Clark | Nurse Practitioner | Baystate Medical Practices Inc | 11 Wilbraham Rd, Baystate Mason Square, Springfield, MA 01109-3161 |
| Sharon Wretzel | Internal Medicine | Baystate Medical Practices Inc | 11 Wilbraham Rd, Baystate Mason Square, Springfield, MA 01109-3161 |
| Megan Eileen Davis | Nurse Practitioner | Baystate Medical Practices Inc | 11 Wilbraham Rd, Baystate Mason Square, Springfield, MA 01109-3161 |
| Rebeca T Bell | Internal Medicine | Baystate Medical Practices Inc | 11 Wilbraham Rd, Baystate Mason Square, Springfield, MA 01109-3161 |
| Samuel H Borden | Internal Medicine | Baystate Medical Practices Inc | 11 Wilbraham Rd, Baystate Mason Square, Springfield, MA 01109-3161 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brian S Dixon | Chiropractic | 90 Berkshire Ave, Springfield, MA 01109-1709 | |
| Nicole A Da Silva | Occupational Therapy | Select Rehabilitation LLC | 807 Wilbraham Rd, Springfield, MA 01109-2067 |
| Amy E Villalobos | Occupational Therapy | Select Rehabilitation LLC | 807 Wilbraham Rd, Springfield, MA 01109-2067 |
| Kara Daher | Occupational Therapy | Select Rehabilitation LLC | 807 Wilbraham Rd, Springfield, MA 01109-2067 |
| Cynthia L Jones | Physical Therapy | Select Rehabilitation LLC | 807 Wilbraham Rd, Springfield, MA 01109-2067 |
| John M Makowicz | Physical Therapy | Select Rehabilitation LLC | 807 Wilbraham Rd, Springfield, MA 01109-2067 |
| Erin C Benjamin Diaz | Occupational Therapy | Select Rehabilitation LLC | 807 Wilbraham Rd, Springfield, MA 01109-2067 |
| Joel M Krutt | Qualified Speech Language Pathologist | Select Rehabilitation LLC | 807 Wilbraham Rd, Springfield, MA 01109-2067 |
| Susana S Seymour | Occupational Therapy | Select Rehabilitation LLC | 807 Wilbraham Rd, Springfield, MA 01109-2067 |
| Maureen F Sweeney | Speech Language Pathologist | Select Rehabilitation LLC | 807 Wilbraham Rd, Springfield, MA 01109-2067 |
| Find all physicians in zip 01109 | |||
| City | SPRINGFIELD |
| Zip Code | 01109 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | SPRINGFIELD + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Ingrid E Statz.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.