Kelly Fanty, | |
41 Mall Rd, Burlington, MA 01805-8480 | |
(781) 744-8000 | |
Not Available |
Full Name | Kelly Fanty |
---|---|
Gender | Female |
Speciality | Clinical Social Worker |
Experience | 8 Years |
Location | 41 Mall Rd, Burlington, Massachusetts |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528527033 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 122000 (Massachusetts) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Lahey Clinic Inc | 2264336528 | 1200 |
Mt Auburn Professional Services | 6103725031 | 258 |
Entity Name | Lahey Clinic Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538194980 PECOS PAC ID: 2264336528 Enrollment ID: O20031120000097 |
Entity Name | Mt Auburn Professional Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992750996 PECOS PAC ID: 6103725031 Enrollment ID: O20040527001374 |
Entity Name | Lahey Clinic Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063447316 PECOS PAC ID: 2264336528 Enrollment ID: O20040629001269 |
Mailing Address | Practice Location Address |
---|---|
Kelly Fanty, 355 Waverley Oaks Rd Ste 100, Waltham, MA 02452-8480 Ph: (508) 785-5786 | Kelly Fanty, 41 Mall Rd, Burlington, MA 01805-8480 Ph: (781) 744-8000 |
Carolina Ivonne Feris, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 67 S Bedford St, Burlington, MA 01803 Phone: 781-744-7000 | |
Deborah Smulian-siegel, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 26 Beacon St Apt 3e, Burlington, MA 01803 Phone: 646-546-2285 | |
Kathryn Yildizyan, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 41 Burlington Mall Rd, Burlington, MA 01805 Phone: 781-744-5100 | |
Kelly Wildes, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 101 Cambridge St Ste 230, Burlington, MA 01803 Phone: 978-222-3121 | |
Mark Clukey, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 41 Mall Rd, Burlington, MA 01805 Phone: 781-744-8000 | |
Laura Beal, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 41 Mall Rd, Burlington, MA 01805 Phone: 781-744-5784 | |
Jonathan Metcalf, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: Lahey Clinic, 41 Mall Road, Burlington, MA 01805 Phone: 781-744-8013 Fax: 781-744-5235 |