| Kellie Condon, PA-C | |
|
2 Essex Center Dr Ste 1, Peabody, MA 01960-2930 | |
| (978) 977-4000 | |
| Not Available |
| Full Name | Kellie Condon |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 4 Years |
| Location | 2 Essex Center Dr Ste 1, Peabody, Massachusetts |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093468894 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| 363A00000X | Physician Assistant | PA8597 (Massachusetts) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Massachusetts General Hospital | Boston, MA | Hospital |
| Beverly Hospital Corporation | Beverly, MA | Hospital |
| North Shore Medical Center - | Salem, MA | Hospital |
| Massachusetts Eye And Ear Infirmary - | Boston, MA | Hospital |
| Brigham And Women's Hospital | Boston, MA | Hospital |
| Spaulding Rehabilitation Hospital | Charlestown, MA | Inpatient rehabilitation facility |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Atrius Health Inc | 4789588641 | 1214 |
| Beth Israel Lahey Health Primary Care, Inc | 7719291434 | 351 |
| Massachusetts General Physicians Organization Inc | 2466365820 | 3494 |
| 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 | Atrius Health Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871639914 PECOS PAC ID: 4789588641 Enrollment ID: O20031121000582 |
| 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 |
| Entity Name | Beth Israel Lahey Health Primary Care, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568292423 PECOS PAC ID: 7719291434 Enrollment ID: O20160517000441 |
| Entity Name | Carbon Health Medical Group of Florida PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881261303 PECOS PAC ID: 3274947304 Enrollment ID: O20211025002861 |
| Entity Name | Carbon Health Medical Group of Massachusetts PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528836897 PECOS PAC ID: 3971943606 Enrollment ID: O20240429003006 |
| Mailing Address | Practice Location Address |
|---|---|
| Kellie Condon, PA-C Provider Enrollment 41 Mall Road, Burlington, MA 01805-0001 Ph: Not Available | Kellie Condon, PA-C 2 Essex Center Dr Ste 1, Peabody, MA 01960-2930 Ph: (978) 977-4000 |
Alexa Keating, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1 Orthopedics Dr, Peabody, MA 01960 Phone: 978-818-6350 |
Andrew Shaheen, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1 Essex Center Dr, Peabody, MA 01960 Phone: 978-538-4000 |
Linda S Southwick, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2 Essex Center Dr, Peabody, MA 01960 Phone: 978-977-4000 |
Emilia Higinbotham, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2 Pontiac Rd, Peabody, MA 01960 Phone: 978-587-6310 |
Jarett S Landman, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1 Orthopedics Dr, Peabody, MA 01960 Phone: 978-818-6350 Fax: 978-818-6355 |
Mr. David Matthew Alden-st.pierre, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1 Roosevelt Ave, Suite 201, Peabody, MA 01960 Phone: 978-536-0215 |
Kathryn Courtney Luck, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: Lahey Medical Center, Peabody, 1 Essex Center Drive, Peabody, MA 01960 Phone: 978-538-4267 Fax: 978-538-4706 |