Dr Kelley M Cornell, MD, FACS is a medicare enrolled "Surgery" physician in Woburn, Massachusetts. She went to University Of Kansas School Of Med (kc/wich/sal) and graduated in 1989 and has 37 years of diverse experience with area of expertise as Vascular Surgery. She is a member of the group practice Beth Israel Lahey Health Specialty Care, Inc. and her current practice location is
200 Unicorn Park Dr Ste 302, Woburn, Massachusetts. You can reach out to her office (for appointments etc.) via phone at
(781) 756-2308.
Dr Kelley M Cornell is licensed to practice in Massachusetts (license number 156867) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1427017276.
Physician's Profile
| Full Name | Dr Kelley M Cornell |
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| Gender | Female |
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| Speciality | Vascular Surgery |
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| Experience | 37 Years |
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| Location | 200 Unicorn Park Dr Ste 302, Woburn, Massachusetts |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Dr Kelley M Cornell attended and graduated from University Of Kansas School Of Med (kc/wich/sal) in 1989
NPI Data:
- NPI Number: 1427017276
- Provider Enumeration Date: 03/21/2006
- Last Update Date: 06/08/2022
Medicare PECOS Information:
- PECOS PAC ID: 4082809124
- Enrollment ID: I20101115000432
Medical Identifiers
Medical identifiers for Dr Kelley M Cornell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1427017276 | NPI | - | NPPES |
| 3178773 | Medicaid | MA | |
| G68888 | Other | MA | MEDICARE UPIN |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208600000X | Surgery | 156867 (Massachusetts) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Beth Israel Lahey Health Specialty Care, Inc. | 2365405024 | 259 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Kelley M Cornell allows following entities to bill medicare on her behalf.
| Entity Name | Northeast Medical Practice Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1235147760 PECOS PAC ID: 2365405024 Enrollment ID: O20050111000265 |
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| Entity Name | Winchester Physician Associates Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1184606865 PECOS PAC ID: 4486540994 Enrollment ID: O20060215000452 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Kelley M Cornell is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| 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 |
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