Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Emily Anne Phaneuf, PA-C

Individual provider Medical Physician Assistant · NPI 1053090415

Emily Anne Phaneuf, PA-C is a Physician Assistant in Boston, Massachusetts. Qualified in 2023, 3 years ago. Practices with Mikhail Novikov MD, PC, a 5-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Massachusetts.

Years since qualifying
3
Licensed in
MA
In the registry since
2023
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

75 Francis St
Boston, MA 02115-6110
Phone: (617) 732-5500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA95328 (MA)
Medical Physician Assistant Taxonomy 363AM0700X

Record details

NPI number1053090415
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 13, 2023
Last updated in NPPESJune 4, 2026
Certification dateJune 4, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Mikhail Novikov Md, Pc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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