HealthDirectory.us

Kiersten Marie Revord

• Female

Medical Specialty

• Physician Assistant

Professional ID

• NPI: 1033535133
• PECOS ID: 2365665494
• Enrollment ID: I20140519001142
• Credential(MD, DO, DPM):
• Medical School:
• Medical School Graduation Year: 2013

Hospital Service

• Hospital CCN1: 220016
• Business Name (LBN)1: Baystate Franklin Medical Center
• Hospital CCN2: 070027
• Business Name (LBN)2: Manchester Memorial Hospital

Medical Practices

• Organization Name: Baystate Medical Practices Inc
• Group Practice ID assigned by PECOS: 5991602971
• Number of Group Practice member: 878

Location

• Address1: 164 High St
• Address2:
• City: Greenfield
• State: Massachusetts
• Zip Code: 01301
• Phone Number:

Location

• Address1: 325 B King St
• Address2:
• City: Northampton
• State: Massachusetts
• Zip Code: 01060
• Phone Number:

Location

• Address1: 48 Sanderson St
• Address2:
• City: Greenfield
• State: Massachusetts
• Zip Code: 01301
• Phone Number:

Location

• Address1: 759 Chestnut St
• Address2:
• City: Springfield
• State: Massachusetts
• Zip Code: 01107
• Phone Number:

Medical Practices

• Organization Name: Prospect Ct Medical Foundation, Inc.
• Group Practice ID assigned by PECOS: 7416244496
• Number of Group Practice member: 215

Location

• Address1: 18 Haynes St
• Address2: Uppr Level
• City: Manchester
• State: Connecticut
• Zip Code: 06040
• Phone Number: (860)649-7557

Location

• Address1: 71 Haynes St
• Address2:
• City: Manchester
• State: Connecticut
• Zip Code: 06040
• Phone Number: (860)647-6800

Medicare

• Medicare Assignment: Yes
• Report Quality of Care to Physician Quality Reporting System (PQRS):
• Used Electronic health record (EHR):