Stacey Marie Breen Greally, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

216484 Issued in MA

Practice address

93 Pond St
Beth Israel Deaconess Health Care- Sharon
Sharon, MA 02067-2015

Phone

(781) 784-9212

Fax

(781) 784-7671

NPI assigned

Oct 18, 2005

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

University of Massachusetts Medical School, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Hallmark Health Medical Associates Inc 151 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Tufts Medicine Care at Home Home health agency, Lowell, MA, CCN 227206
• Mass General Brigham Home Care, Inc Home health agency, Newton, MA, CCN 227207
• Melrosewakefield Healthcare Hospital, Melrose, MA, CCN 220070
• Tufts Medical Center Hospital, Boston, MA, CCN 220116

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sbreengreally144326@tuftsmedicine.direct-ci.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Hallmark Health Medical Associates Inc

  • Family Medicine Physician
  • Medford, MA
  • NPI 1770563900

  Family Medicine, MA

  Medicare reassignment Care Compare group NPD
• Medical Care of Boston Management Corporation

  • Internal Medicine Physician
  • Needham, MA
  • NPI 1437196359

  MA

  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Mass General Brigham Home Care, Inc.

  • Home Health Agency
  • Newton, MA
  • NPI 1083644017
  Care Compare affiliation Name & address match
• Melrosewakefield Healthcare, Inc.

  • General Acute Care Hospital
  • Medford, MA
  • NPI 1841290467

  Hospital

  Care Compare affiliation
• Tufts Medical Center, Inc.

  • General Acute Care Hospital
  • Boston, MA
  • NPI 1730132515

  Hospital

  Care Compare affiliation
• Tufts Medicine Care at Home, Inc.

  • Home Health Agency
  • Lowell, MA
  • NPI 1336443472
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1129593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470787200000",
    "number": "1821087289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "93 POND ST",
            "address_2": "BETH ISRAEL DEACONESS MEDICAL CENTER",
            "city": "SHARON",
            "state": "MA",
            "postal_code": "020672015",
            "telephone_number": "781-784-9212",
            "fax_number": "781-784-7671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "93 POND ST",
            "address_2": "BETH ISRAEL DEACONESS HEALTH CARE- SHARON",
            "city": "SHARON",
            "state": "MA",
            "postal_code": "020672015",
            "telephone_number": "781-784-9212",
            "fax_number": "781-784-7671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREEN GREALLY",
        "first_name": "STACEY",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-18",
        "last_updated": "2016-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "216484",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2076501",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hendi Bogart, LIC. AC.
• Boston Nursing Care & Consulting Inc
• Niveen Botros, RPH
• Heather Dawn Boxerman, MD
• Rachel Brandes
• Anjela R Brenner, CFSLP
• Gary R Brissette, M.D.
• Melissa Bronstein, LICSW
• Bob Brutus
• Susan Polonsky Cable, PT

• All providers in Sharon, MA
• Family Medicine Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.