Dr Stacey Marie Breen Greally, MD is a medicare enrolled "Family Medicine" physician in Sharon, Massachusetts. Her current practice location is
93 Pond St, Beth Israel Deaconess Health Care- Sharon, Sharon, Massachusetts. You can reach out to her office (for appointments etc.) via phone at
(781) 784-9212.
Dr Stacey Marie Breen Greally is licensed to practice in Massachusetts (license number 216484) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1821087289.
Physician's Profile
| Full Name | Dr Stacey Marie Breen Greally |
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| Gender | Female |
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| Speciality | Family Medicine |
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| Location | 93 Pond St, Sharon, Massachusetts |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1821087289
- Provider Enumeration Date: 10/18/2005
- Last Update Date: 08/10/2016
Medicare PECOS Information:
- PECOS PAC ID: 0345213393
- Enrollment ID: I20040817001127
Medical Identifiers
Medical identifiers for Dr Stacey Marie Breen Greally such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1821087289 | NPI | - | NPPES |
| 2076501 | Medicaid | MA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 216484 (Massachusetts) | Primary |
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 Stacey Marie Breen Greally allows following entities to bill medicare on her behalf.
| Entity Name | Medical Care Of Boston Management Corporation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1437196359
PECOS PAC ID: 6800787714
Enrollment ID: O20040322000778 |
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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 Stacey Marie Breen Greally 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 |
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Dr Stacey Marie Breen Greally, MD
93 Pond St, Beth Israel Deaconess Medical Center,
Sharon, MA 02067-2015
Ph: (781) 784-9212 | Dr Stacey Marie Breen Greally, MD
93 Pond St, Beth Israel Deaconess Health Care- Sharon,
Sharon, MA 02067-2015
Ph: (781) 784-9212 |
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