Vincent Prendergast (NPI# 1881820090, PAC ID# 7517090319) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1881820090 |
| PAC ID by PECOS | 7517090319 |
| Professional Enrollment ID | I20100730000391 |
| Full Name | Vincent Prendergast |
| Organization Legal Name | UMASS MEMORIAL RADIOLOGY PHYS SERV |
| Address |
367 Plantation St Worcester MA 01605-2323 |
| Phone Number | 5087546026 |
| Gender | M |
| Graduation Year | 2007 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 6800868779 |
| Number of Group Practice Members | 93 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 220163 | UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS |
| Address | Phone | Organization |
|---|---|---|
| 367 Plantation St, Worcester, MA 01605-2323 | 5087546026 | UMASS MEMORIAL RADIOLOGY PHYS SERV |
| 55 Lake Ave N, Worcester, MA 01655-0002 | 5088565381 | UMASS MEMORIAL RADIOLOGY PHYS SERV |
| Organization Legal Name | UMASS MEMORIAL RADIOLOGY PHYS SERV |
| Physicians | 84 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Walter J Zawacki | Nurse Practitioner | Umass Memorial Radiology Phys Serv | 55 Lake Ave N, Worcester, MA 01655-0002 |
| Alan J Goldstein | Diagnostic Radiology | Umass Memorial Radiology Phys Serv | 55 Lake Ave N, Worcester, MA 01655-0002 |
| Jasmeet Singh | Diagnostic Radiology | Umass Memorial Radiology Phys Serv | 55 Lake Ave N, Worcester, MA 01655-0002 |
| Suma C Kannabiran | Diagnostic Radiology | Umass Memorial Radiology Phys Serv | 55 Lake Ave N, Worcester, MA 01655-0002 |
| Khashayar Rafatzand | Diagnostic Radiology | Umass Memorial Radiology Phys Serv | 55 Lake Ave N, Worcester, MA 01655-0002 |
| Douglas Fellows | Diagnostic Radiology | Umass Memorial Radiology Phys Serv | 55 Lake Ave N, Worcester, MA 01655-0002 |
| Monique M Tyminski | Diagnostic Radiology | Umass Memorial Radiology Phys Serv | 55 Lake Ave N, Worcester, MA 01655-0002 |
| Patricia Cross | Diagnostic Radiology | Umass Memorial Radiology Phys Serv | 55 Lake Ave N, Worcester, MA 01655-0002 |
| Amin S Chaoui | Diagnostic Radiology | Umass Memorial Radiology Phys Serv | 55 Lake Ave N, Worcester, MA 01655-0002 |
| Kimberly Lyn Marsh | Nurse Practitioner | Umass Memorial Radiology Phys Serv | 55 Lake Ave N, Worcester, MA 01655-0002 |
| Street Address |
367 PLANTATION ST |
| City | WORCESTER |
| State | MA |
| Zip | 01605-2323 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael A Cirillo | Psychologist, Clinical | Cornerstone Behavioral Health Inc. | 397 Grove St, Worcester, MA 01605-1223 |
| Peter W Moran | Psychologist, Clinical | Cornerstone Behavioral Health Inc. | 397 Grove St, Worcester, MA 01605-1223 |
| Theresa G Boothby | Nurse Practitioner | Minuteclinic Diagnostic of Massachusetts, LLC | 44 W Boylston St, Worcester, MA 01605-1261 |
| Kathryn A Mcgrath | Nurse Practitioner | Minuteclinic Diagnostic of Massachusetts, LLC | 44 W Boylston St, Worcester, MA 01605-1261 |
| Lea C Murphy | Nurse Practitioner | Minuteclinic Diagnostic of Massachusetts, LLC | 44 W Boylston St, Worcester, MA 01605-1261 |
| Leena S Shah | Nurse Practitioner | Minuteclinic Diagnostic of Massachusetts, LLC | 44 W Boylston St, Worcester, MA 01605-1261 |
| Daylin A. Chaplin | Nurse Practitioner | Minuteclinic Diagnostic of Massachusetts, LLC | 44 W Boylston St, Worcester, MA 01605-1261 |
| Lauren E Gray | Nurse Practitioner | Minuteclinic Diagnostic of Massachusetts, LLC | 44 W Boylston St, Worcester, MA 01605-1261 |
| Lisa A Mcniff | Nurse Practitioner | Minuteclinic Diagnostic of Massachusetts, LLC | 44 W Boylston St, Worcester, MA 01605-1261 |
| Eric M Severi | Nurse Practitioner | Minuteclinic Diagnostic of Massachusetts, LLC | 44 W Boylston St, Worcester, MA 01605-1261 |
| Find all physicians in zip 01605 | |||
| City | WORCESTER |
| Zip Code | 01605 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | WORCESTER + NURSE PRACTITIONER |
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| 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.