William J Mullally, MD | |
111 Grossman Dr, Neurology, Braintree, MA 02184-4997 | |
(781) 849-2265 | |
(781) 849-2274 |
Full Name | William J Mullally |
---|---|
Gender | Male |
Speciality | Neurology |
Experience | 48 Years |
Location | 111 Grossman Dr, Braintree, 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 |
---|---|---|---|
1659463339 | NPI | - | NPPES |
111404 | Other | MA | HARVARD PILGRIM |
0014880 | Other | MA | NEIGHBORHOOD HEALTH PLAN |
3179591 | Medicaid | MA | |
046261 | Other | MA | TUFTS HEALTH PLAN |
P00086706 | Other | MA | MEDICARE RAILROAD |
J12153 | Other | MA | BLUE CROSS |
7011385-002 | Other | MA | CIGNA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 46261 (Massachusetts) | Secondary |
2084N0400X | Psychiatry & Neurology - Neurology | 46261 (Massachusetts) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Brigham And Women's Hospital | Boston, MA | Hospital |
Faulkner Hospital-brigham And Women's | Boston, MA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Brigham And Womens Physicians Organization Inc | 3870405988 | 2511 |
Entity Name | Brigham & Womens Physicians Organization Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033535497 PECOS PAC ID: 3870405988 Enrollment ID: O20150107001260 |
Mailing Address | Practice Location Address |
---|---|
William J Mullally, MD 147 Milk St, Provider Enrollment 9th Floor, Boston, MA 02109-4806 Ph: (617) 421-6540 | William J Mullally, MD 111 Grossman Dr, Neurology, Braintree, MA 02184-4997 Ph: (781) 849-2265 |
Ms. Melissa Hankins, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 150 Grossman Dr, Braintree, MA 02184 Phone: 781-849-2275 Fax: 781-849-2299 | |
Dr. Kara Lichtman, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 150 Grossman Dr, Behavioral Health, Braintree, MA 02184 Phone: 781-849-2275 Fax: 781-849-2299 | |
Raymond F Colella, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 340 Wood Rd, Suite 306, Braintree, MA 02184 Phone: 781-794-2300 Fax: 781-794-2215 | |
Karen J Shedlack, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 220r Forbes Road, Department Of Developmental Disabilities, Braintree, MA 02184 Phone: 617-855-2577 Fax: 781-356-8858 | |
Dr. Brendan Campbell, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 325 Wood Rd, Braintree, MA 02184 Phone: 617-299-2238 | |
Jennifer A Tufts, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 325 Wood Rd Ste 209, Braintree, MA 02184 Phone: 617-299-2238 | |
Slavenka Milutin, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 340 Wood Road, Suite 306, Braintree, MA 02184 Phone: 781-794-2300 Fax: 781-794-2215 |