Kelly J Gardner, MD in Boston, MA

Kelly J Gardner, MD is a medicare enrolled "Pediatrics - Pediatric Pulmonology" physician in Boston, Massachusetts. Her current practice location is Massachusetts General Hospital, 55 Fruit St., Boston, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (617) 726-2687.

Kelly J Gardner is licensed to practice in Massachusetts (license number 269950) 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 1437562618.

Contact Information

	Kelly J Gardner, MD
	Massachusetts General Hospital, 55 Fruit St., Boston, MA 02114
	(617) 726-2687
	Not Available

Map and Direction

Physician's Profile

Full Name	Kelly J Gardner
Gender	Female
Speciality	Pediatrics - Pediatric Pulmonology
Location	Massachusetts General Hospital, Boston, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1437562618
Provider Enumeration Date: 06/05/2014
Last Update Date: 06/22/2023

Medicare PECOS Information:

PECOS PAC ID: 4284851395
Enrollment ID: I20170509000171

Medical Identifiers

Medical identifiers for Kelly J Gardner such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1437562618	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	269950 (Massachusetts)	Secondary
2080S0012X	Pediatrics - Sleep Medicine	269950 (Massachusetts)	Secondary
208M00000X	Hospitalist	269950 (Massachusetts)	Secondary
2080P0214X	Pediatrics - Pediatric Pulmonology	269950 (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. Kelly J Gardner allows following entities to bill medicare on her behalf.

Entity Name	Massachusetts General Physicians Organization Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801874573 PECOS PAC ID: 2466365820 Enrollment ID: O20031111000434

Entity Name	Brigham & Womens Hospital Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1790717650 PECOS PAC ID: 4385554732 Enrollment ID: O20040407000771

Entity Name	The General Hospital Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023049236 PECOS PAC ID: 6507803806 Enrollment ID: O20080313000351

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. Kelly J Gardner 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
Kelly J Gardner, MD Massachusetts General Hospital, 275 Cambridge St, 5th Floor, Boston, MA 02114 Ph: (617) 726-8707	Kelly J Gardner, MD Massachusetts General Hospital, 55 Fruit St., Boston, MA 02114 Ph: (617) 726-2687

Reviews and Comments

Pediatrics Doctors in Boston, MA

Puja Banka, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 300 Longwood Ave, Bader 203, Boston, MA 02115 Phone: 617-355-6363
Angela M. Jacques, MD Pediatrics Medicare: Medicare Enrolled Practice Location: Massachusetts General Hospital, 55 Fruit St., Boston, MA 02114 Phone: 617-726-2066
Dr. Elizabeth S Taglauer, M.D., PH.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 300 Longwood Ave, Boston, MA 02115 Phone: 617-355-6000
Cailyn Hereen Rood, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 300 Longwood Ave, Boston, MA 02115 Phone: 617-355-6000
Dr. Alon Peltz, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 300 Longwood Ave, Boston, MA 02115 Phone: 617-355-6000
Miki Nishitani, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 300 Longwood Ave, Boston, MA 02115 Phone: 617-355-6000
Vickren Pillay, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 300 Longwood Ave, Boston, MA 02115 Phone: 617-355-6000

Kelly J Gardner, MD - Medicare Pediatrics in Boston, MA