Kelsey Short, | |
736 Cambridge St, Brighton, MA 02135-2907 | |
(617) 789-3000 | |
Not Available |
Full Name | Kelsey Short |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 736 Cambridge St, Brighton, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1861126914 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | RN2294596 (Massachusetts) | Secondary |
363LF0000X | Nurse Practitioner - Family | RN2294596 (Massachusetts) | Primary |
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 | Lahey Clinic Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063447316 PECOS PAC ID: 2264336528 Enrollment ID: O20040629001269 |
Entity Name | Steward Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629398219 PECOS PAC ID: 2860688728 Enrollment ID: O20101119000007 |
Entity Name | Steward Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629398219 PECOS PAC ID: 2860688728 Enrollment ID: O20101119000332 |
Mailing Address | Practice Location Address |
---|---|
Kelsey Short, 64 Putnam St, Watertown, MA 02472-1982 Ph: (781) 572-4486 | Kelsey Short, 736 Cambridge St, Brighton, MA 02135-2907 Ph: (617) 789-3000 |
Miss Teresa Ann Gore, ANP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11 Nevins St, Suite 401, Brighton, MA 02135 Phone: 617-782-7788 Fax: 617-783-5657 | |
Lisa Ngu, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: Brighton High School, 25 Warren Street, Brighton, MA 02135 Phone: 617-534-9958 | |
Patrice Noel, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11 Nevins St Ste 303, Brighton, MA 02135 Phone: 617-562-7333 | |
Libby Levine, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11 Nevins St Ste 306, Brighton, MA 02135 Phone: 617-789-2045 | |
Amy Hanson, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 495 Western Ave, Brighton, MA 02135 Phone: 617-783-0500 | |
Ms. Iryna Zhukouskaya, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 736 Cambridge St, Brighton, MA 02135 Phone: 161-778-9242 | |
Courtney Emery, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 736 Cambridge St, Brighton, MA 02135 Phone: 617-789-3000 |