| Dr Kelley M Cornell, MD, FACS | |
|
200 Unicorn Park Dr Ste 302, Woburn, MA 01801-3342 | |
| (781) 756-2308 | |
| (781) 756-4798 |
| Full Name | Dr Kelley M Cornell |
|---|---|
| Gender | Female |
| Speciality | Vascular Surgery |
| Experience | 36 Years |
| Location | 200 Unicorn Park Dr Ste 302, Woburn, Massachusetts |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427017276 | NPI | - | NPPES |
| 3178773 | Medicaid | MA | |
| G68888 | Other | MA | MEDICARE UPIN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 156867 (Massachusetts) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lahey Health At Home | Beverly, MA | Home health agency |
| Winchester Hospital | Winchester, MA | Hospital |
| Lahey Hospital & Medical Center, Burlington | Burlington, MA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northeast Medical Practice Inc | 2365405024 | 228 |
| Entity Name | Northeast Medical Practice Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235147760 PECOS PAC ID: 2365405024 Enrollment ID: O20050111000265 |
| Entity Name | Winchester Physician Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184606865 PECOS PAC ID: 4486540994 Enrollment ID: O20060215000452 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kelley M Cornell, MD, FACS 955 Main St Ste G2a, Winchester, MA 01890-1992 Ph: (781) 729-2020 | Dr Kelley M Cornell, MD, FACS 200 Unicorn Park Dr Ste 302, Woburn, MA 01801-3342 Ph: (781) 756-2308 |
Nayomi K. Edirisinghe, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 7 Alfred Street, Suite #306, Woburn, MA 01801 Phone: 781-756-2308 Fax: 781-756-4798 |