Kathleen Holly Gallivan, MD,MPH,FACS - Medicare Otolaryngology in Woburn, MA

  1. Home
  2. Otolaryngology
  3. MA
  4. Woburn
Kathleen Holly Gallivan, MD,MPH,FACS is a medicare enrolled "Otolaryngology" physician in Woburn, Massachusetts. She went to Boston University School Of Medicine and graduated in 1995 and has 30 years of diverse experience with area of expertise as Otolaryngology. She is a member of the group practice Massachusetts Ear Nose And Throat Associates 3 Llc, Massachusetts Ent Associates Inc, Massachusetts Ent Associates Inc and her current practice location is 100 Tradecenter, Suite 750, Woburn, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (781) 937-3001.

Kathleen Holly Gallivan is licensed to practice in Massachusetts (license number 204711) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1427056225.

Contact Information

Kathleen Holly Gallivan, MD,MPH,FACS
100 Tradecenter, Suite 750,
Woburn, MA 01801-1851
(781) 937-3001
(781) 305-2779

Map and Direction




Physician's Profile

Full NameKathleen Holly Gallivan
GenderFemale
SpecialityOtolaryngology
Experience30 Years
Location100 Tradecenter, Woburn, Massachusetts
Accepts Medicare AssignmentsMay be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kathleen Holly Gallivan attended and graduated from Boston University School Of Medicine in 1995
  NPI Data:
  • NPI Number: 1427056225
  • Provider Enumeration Date: 07/14/2005
  • Last Update Date: 02/25/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 6305882721
  • Enrollment ID: I20110315000586

Medical Identifiers

Medical identifiers for Kathleen Holly Gallivan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1427056225NPI-NPPES
0109100MedicaidMA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Y00000XOtolaryngology 204711 (Massachusetts)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Winchester HospitalWinchester, MAHospital

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. Kathleen Holly Gallivan allows following entities to bill medicare on her behalf.
Entity NameMassachusetts Ent Associates Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063493492
PECOS PAC ID: 6305891110
Enrollment ID: O20050315000369
Entity NameMassachusetts Ear Nose And Throat Associates 4 Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710554217
PECOS PAC ID: 3577966118
Enrollment ID: O20210720003440
Entity NameMassachusetts Ear Nose And Throat Associates 3 Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548837032
PECOS PAC ID: 0143623637
Enrollment ID: O20210721001736

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. Kathleen Holly Gallivan 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 AddressPractice Location Address
Kathleen Holly Gallivan, MD,MPH,FACS
100 Tradecenter, Suite 750,
Woburn, MA 01801-1851

Ph: (781) 937-3001		Kathleen Holly Gallivan, MD,MPH,FACS
100 Tradecenter, Suite 750,
Woburn, MA 01801-1851

Ph: (781) 937-3001

Reviews and Comments


Otolaryngology Doctors in Woburn, MA

Jeffrey Stuart Brown, M.D.
Otolaryngology
Medicare: Accepting Medicare Assignments
Practice Location: 100 Sylvan Rd, Suite 750, Woburn, MA 01801
Phone: 781-937-3001    Fax: 781-937-3070
Thomas H Costello, MD
Otolaryngology
Medicare: Accepting Medicare Assignments
Practice Location: 100 Tradecenter, Suite 750, Woburn, MA 01801
Phone: 781-937-3001    Fax: 781-937-3070
Dr. Andrew Maurice Doolittle, M.D.
Otolaryngology
Medicare: Accepting Medicare Assignments
Practice Location: 100 Tradecenter, Suite 750, Woburn, MA 01801
Phone: 781-937-3001    Fax: 781-937-3070

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.