Lisa M Taylor Kelly, MD | |
35 Millbury St, Auburn, MA 01501 | |
(508) 832-5917 | |
(508) 832-5751 |
Full Name | Lisa M Taylor Kelly |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 35 Millbury St, Auburn, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1386604759 | NPI | - | NPPES |
33744 | Other | FALLON COMMUNITY HEALTH P | |
2039829 | Other | FIRST HEALTH | |
3190099 | Other | MEDICAID WELFARE | |
J19335 | Other | BLUE SHIELD INDEMNITY | |
042472266 | Other | HEALTHCARE VALUE MANAGEME | |
042472266 | Other | THREE RIVERS | |
3190099 | Medicaid | MA | |
J19335 | Other | BLUE SHIELD HMO BLUE | |
7166020 | Other | AETNA US HEALTHCARE | |
042472266 | Other | ONE HEALTH PLAN | |
042472266 | Other | PRIVATE HEALTHCARE SYSTEM | |
34378 | Other | HEALTHY START | |
34378 | Other | CHILDRENS MEDICAL SECURIT | |
3523062 | Other | CIGNA HEALTH PLAN | |
J19335 | Other | BLUE CARE ELECT | |
784202 | Other | MVP HEALTH CARE | |
A28596 | Other | MEDICARE B | |
AA1182 | Other | HARVARD PILGRIM HEALTH CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 158182 (Massachusetts) | Primary |
Entity Name | Baystate Medical Practices Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548205909 PECOS PAC ID: 5991602971 Enrollment ID: O20040225000080 |
Mailing Address | Practice Location Address |
---|---|
Lisa M Taylor Kelly, MD 630 Plantation St, Wot Fl 12 Attn: Physician Services, Worcester, MA 01605 Ph: (508) 368-5529 | Lisa M Taylor Kelly, MD 35 Millbury St, Auburn, MA 01501 Ph: (508) 832-5917 |
Katharine Garnett, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 105 Mullbury St, Auburn, MA 01501 Phone: 508-832-9691 Fax: 508-832-7670 | |
Brooke E Di Anni, D.O. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 385 Southbridge St, Auburn, MA 01501 Phone: 508-832-5917 Fax: 508-832-5751 | |
Gail Sandra Ryan, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 105 Mullbury St, Auburn, MA 01501 Phone: 508-832-9691 Fax: 508-832-7670 | |
Dr. Sarah Elizabeth Mcgowan, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 105 Millbury St, Auburn, MA 01501 Phone: 508-832-9691 | |
Madeline Betty Morris, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 105 Millbury St, Auburn, MA 01501 Phone: 508-832-9691 Fax: 508-832-7670 | |
Angela Ciamarra Mancini, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: Child Hlth Assoc., 105 Millbury St, Auburn, MA 01501 Phone: 508-832-9691 |