Shannon M Kelley, | |
55 Fruit St, Boston, MA 02114-2696 | |
(617) 726-2033 | |
Not Available |
Full Name | Shannon M Kelley |
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Gender | Female |
Speciality | Advanced Practice Midwife |
Location | 55 Fruit St, Boston, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1730701871 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367A00000X | Advanced Practice Midwife | (* (Not Available)) | Primary |
Entity Name | Massachusetts General Physicians Organization Inc |
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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 |
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Shannon M Kelley, 55 Fruit St, Boston, MA 02114-2696 Ph: (617) 726-2033 | Shannon M Kelley, 55 Fruit St, Boston, MA 02114-2696 Ph: (617) 726-2033 |
Marie C Henderson, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 55 Fruit Street, Yaw 4, Boston, MA 02114 Phone: 617-724-2229 | |
Jean Ewan, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 850 Harrison Ave, Yawkey 4th Floor, Boston, MA 02118 Phone: 617-414-2000 Fax: 617-414-5798 | |
Mrs. Janet Lawson Bates, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 133 Brookline Ave, Boston, MA 02215 Phone: 617-421-1191 Fax: 617-421-5828 | |
Emily Mansur Fox, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 725 Albany St, Fl 5, Shapiro Bldg, Boston, MA 02118 Phone: 617-414-2000 Fax: 617-414-5798 | |
Mrs. Stephanie Marisa Mitchell, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 850 Harrison Ave # Yacc5, Boston, MA 02118 Phone: 617-414-2000 Fax: 617-414-5798 | |
Ms. Dorothy Brewin, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 75 Francis St, Boston, MA 02115 Phone: 617-732-5053 | |
Ms. Natalia S Richey, CNM, RN Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 55 Fruit St # 4, Boston, MA 02114 Phone: 617-643-6412 |