Dr Brendon Kinsley, MD | |
Baystate Medical Center 759 Chestnut St, Springfield, MA 01199-0001 | |
(413) 794-0000 | |
Not Available |
Full Name | Dr Brendon Kinsley |
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Gender | Male |
Speciality | Student In An Organized Health Care Education/training Program |
Location | Baystate Medical Center 759 Chestnut St, Springfield, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1154943553 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 1013360 (Massachusetts) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Entity Name | Baystate Medical Practices Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548205909 PECOS PAC ID: 5991602971 Enrollment ID: O20040225000080 |
Entity Name | Berkshire Medical Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295765261 PECOS PAC ID: 1355232711 Enrollment ID: O20040324000088 |
Entity Name | Baystate Wing Hospital Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962410233 PECOS PAC ID: 9335048321 Enrollment ID: O20040511000400 |
Entity Name | Baystate Franklin Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508867391 PECOS PAC ID: 9638151731 Enrollment ID: O20040602001590 |
Mailing Address | Practice Location Address |
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Dr Brendon Kinsley, MD Baystate Medical Center 759 Chestnut St, Springfield, MA 01199-0001 Ph: (413) 794-0000 | Dr Brendon Kinsley, MD Baystate Medical Center 759 Chestnut St, Springfield, MA 01199-0001 Ph: (413) 794-0000 |