Charles A Kelly, MD | |
40 Second Ave, Waltham, MA 02451 | |
(617) 726-3030 | |
Not Available |
Full Name | Charles A Kelly |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 38 Years |
Location | 40 Second Ave, Waltham, Massachusetts |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083674352 | NPI | - | NPPES |
3060926 | Medicaid | MA | |
J09601 | Other | MA | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 72670 (Massachusetts) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Massachusetts General Physicians Organization Inc | 2466365820 | 3084 |
Entity Name | Massachusetts General Physicians Organization Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801874573 PECOS PAC ID: 2466365820 Enrollment ID: O20031111000434 |
Entity Name | The General Hospital Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023049236 PECOS PAC ID: 6507803806 Enrollment ID: O20080313000351 |
Mailing Address | Practice Location Address |
---|---|
Charles A Kelly, MD Po Box 9142, Mass General Physician Organization Inc, Charlestown, MA 02129-9142 Ph: (617) 724-0287 | Charles A Kelly, MD 40 Second Ave, Waltham, MA 02451 Ph: (617) 726-3030 |
Carlos F Bazoberry, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 281 Winter St Fl 2, Waltham, MA 02451 Phone: 781-895-7900 | |
David Benjamin Boyce, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 52 2nd Ave Ste 200, Waltham, MA 02451 Phone: 781-487-6971 | |
Murat A Avadikoglu, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1440 Main St, Surgisite Boston, Waltham, MA 02451 Phone: 781-891-9300 Fax: 781-891-9305 | |
Seshagiri Rao Meka, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 20 Hope Ave, Suite 107, Waltham, MA 02453 Phone: 781-894-5522 | |
Lee Scott Silk, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 85 1st Ave, Waltham, MA 02451 Phone: 781-647-7246 | |
Juan J. Mallari, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1440 Main Street, Waltham, MA 02451 Phone: 781-891-9300 Fax: 781-891-9305 |