MEDICARE: MRS. REBECCA PEREIRA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant
2	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1821946260
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. REBECCA PEREIRA

Provider Business Mailing Address
First Line	:	19 FOSTER ST
Second Line	:
City	:	WORCESTER
State	:	MA
Zip	:	01608-1715
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	127 SUSAN DR
Second Line	:
City	:	WESTFIELD
State	:	MA
Zip	:	01085-1434
Country	:	US
Telephone Number	:	413-335-2725
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/20/2026
Last Update Date	:	05/30/2026

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