Katy-ann E Hannigan, DO | |
250 Green St, Suite 212, Gardner, MA 01440-1396 | |
(978) 630-5030 | |
(855) 248-9859 |
Full Name | Katy-ann E Hannigan |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 250 Green St, Gardner, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1558351635 | NPI | - | NPPES |
2018918 | Medicaid | MA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 219096 (Massachusetts) | Primary |
208M00000X | Hospitalist | 219096 (Massachusetts) | Secondary |
Entity Name | Henry Heywood Memorial Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205823879 PECOS PAC ID: 1658262605 Enrollment ID: O20040322000360 |
Entity Name | Pratt Pediatric Associates Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477590511 PECOS PAC ID: 3779475371 Enrollment ID: O20040329000127 |
Entity Name | Heywood Medical Group Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699762286 PECOS PAC ID: 6901882836 Enrollment ID: O20040629001351 |
Entity Name | Emerson Practice Associates, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508020199 PECOS PAC ID: 8123188117 Enrollment ID: O20081120000518 |
Mailing Address | Practice Location Address |
---|---|
Katy-ann E Hannigan, DO 250 Green St, Ste 110, Gardner, MA 01440-1377 Ph: (978) 630-5030 | Katy-ann E Hannigan, DO 250 Green St, Suite 212, Gardner, MA 01440-1396 Ph: (978) 630-5030 |
John F. Mulqueen, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 190 Lawrence St, Gardner, MA 01440 Phone: 978-630-2306 Fax: 978-630-3182 | |
Yuliya Ostrerov, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 250 Green St, Suite 212, Gardner, MA 01440 Phone: 978-630-5030 Fax: 978-248-9859 | |
Alexandra Evindar, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 242 Green St, Gardner, MA 01440 Phone: 978-632-3420 |