Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Marisa Reidemeister

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1235813148

Marisa Reidemeister is a Physician Assistant in Longmeadow, Massachusetts. Qualified in 2025, 1 year ago. Practices with Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc, a 1,676-clinician group and accepts Medicare assignment.

Years since qualifying
1
In the registry since
2023

Practice location Address checks out

588 Longmeadow St
Longmeadow, MA 01106-2292
Phone: (508) 837-1430
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1235813148
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 12, 2023
Last updated in NPPESJune 12, 2023
Certification dateJune 12, 2023
Mailing address588 Longmeadow St, Longmeadow, MA 01106-2292

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Harvard Medical Faculty Phys At Beth Israel Deaconess Med Ctr Inc — 1676 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Longmeadow