| Lisa Kelley, CNM | |
|
63 Main St, Brockton, MA 02301-4042 | |
| (508) 559-6699 | |
| Not Available |
| Full Name | Lisa Kelley |
|---|---|
| Gender | Female |
| Speciality | Certified Nurse Midwife (cnm) |
| Experience | 7 Years |
| Location | 63 Main St, Brockton, 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 |
|---|---|---|---|
| 1497214043 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367A00000X | Advanced Practice Midwife | RN2329969 (Massachusetts) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Physicians For Women's Health, Llc | 3274430665 | 293 |
| Entity Name | Physicians For Women's Health, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801826680 PECOS PAC ID: 3274430665 Enrollment ID: O20031215000455 |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Kelley, CNM 63 Main St, Brockton, MA 02301-4042 Ph: () - | Lisa Kelley, CNM 63 Main St, Brockton, MA 02301-4042 Ph: (508) 559-6699 |
Michelle Hoffman, Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 63 Main St, Brockton, MA 02301 Phone: 508-559-6699 Fax: 508-559-5073 | |
Letitia L Sullivan, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 110 Liberty St, Brockton, MA 02301 Phone: 508-894-0400 Fax: 508-565-0157 | |
Vida Mia Ruiz, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 63 Main St, 3rd Floor, Brockton, MA 02301 Phone: 508-559-6699 | |
Masimbiti Rabecca Kunje, CNM Advanced Practice Midwife Medicare: May Accept Medicare Assignments Practice Location: 680 Centre St, Brockton, MA 02302 Phone: 508-941-7000 | |
Dianne H Quadros, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 110 Liberty St, Brockton, MA 02301 Phone: 508-894-0400 Fax: 508-894-0332 | |
Ms. Lesli Ellen Warren, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 63 Main St, Brockton, MA 02301 Phone: 508-559-6699 Fax: 508-559-5073 |