| William J Mullally, MD | |
|
111 Grossman Dr, Neurology, Braintree, MA 02184-4997 | |
| (781) 849-2265 | |
| (781) 849-2274 |
| Full Name | William J Mullally |
|---|---|
| Gender | Male |
| Speciality | Neurology |
| Experience | 49 Years |
| Location | 111 Grossman Dr, Braintree, Massachusetts |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659463339 | NPI | - | NPPES |
| 111404 | Other | MA | HARVARD PILGRIM |
| 0014880 | Other | MA | NEIGHBORHOOD HEALTH PLAN |
| 3179591 | Medicaid | MA | |
| 046261 | Other | MA | TUFTS HEALTH PLAN |
| P00086706 | Other | MA | MEDICARE RAILROAD |
| J12153 | Other | MA | BLUE CROSS |
| 7011385-002 | Other | MA | CIGNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 46261 (Massachusetts) | Secondary |
| 2084N0400X | Psychiatry & Neurology - Neurology | 46261 (Massachusetts) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Brigham And Women's Hospital | Boston, MA | Hospital |
| Faulkner Hospital-brigham And Women's | Boston, MA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Brigham And Womens Physicians Organization Inc | 3870405988 | 2680 |
| Entity Name | Brigham & Womens Physicians Organization Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033535497 PECOS PAC ID: 3870405988 Enrollment ID: O20150107001260 |
| Mailing Address | Practice Location Address |
|---|---|
| William J Mullally, MD 147 Milk St, Provider Enrollment 9th Floor, Boston, MA 02109-4806 Ph: (617) 421-6540 | William J Mullally, MD 111 Grossman Dr, Neurology, Braintree, MA 02184-4997 Ph: (781) 849-2265 |
Ms. Melissa Hankins, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 150 Grossman Dr, Braintree, MA 02184 Phone: 781-849-2275 Fax: 781-849-2299 | |
Raymond F Colella, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 340 Wood Rd, Suite 306, Braintree, MA 02184 Phone: 781-794-2300 Fax: 781-794-2215 | |
Karen J Shedlack, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 220r Forbes Road, Department Of Developmental Disabilities, Braintree, MA 02184 Phone: 617-855-2577 Fax: 781-356-8858 | |
Dr. Brendan Campbell, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 325 Wood Rd, Braintree, MA 02184 Phone: 617-299-2238 | |
Jennifer A Tufts, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 325 Wood Rd Ste 209, Braintree, MA 02184 Phone: 617-299-2238 | |
Slavenka Milutin, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 340 Wood Road, Suite 306, Braintree, MA 02184 Phone: 781-794-2300 Fax: 781-794-2215 | |
Hagen Yang, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 111 Grossman Dr, Braintree, MA 02184 Phone: 781-849-2265 Fax: 781-849-2274 |