Cory Andrus, PA
Individual provider Active NPI Physician Assistant · Burlington, MA
NPI 1982147245 · NPPES record last updated Nov 18, 2016
Key facts
- NPI
- 1982147245
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- PA5936 (MA)
- Practice address
- 41 Mall Rd
Burlington, MA 01805-0001 - Phone
- (781) 744-8100
- NPI assigned
- Nov 18, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Berkshire Faculty Services Inc
Practice addresses (Care Compare)
197 Adams Rd
Williamstown, MA 01267-2930
Phone (413) 346-1845
Hospital & facility affiliations
- Berkshire Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161215001308 | MA | Practitioner - Physician Assistant | 8921388604 | Reassigns benefits to 5 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA5936 | MA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lahey Clinic, Inc | Current |
Accepting new patients | |
| Lahey Clinic, Inc. | Current |
Accepting new patients | |
| Mass General Brigham Urgent Care LLC | Current |
Accepting new patients | |
| Mass General Brigham Urgent Care LLC | Current |
Accepting new patients | |
| Fairview Hospital | Current |
Accepting new patients |
Locations
1285 Beacon St
Brookline, MA 02446
Phone (617) 751-6205
41 Mall Rd
Burlington, MA 01805
Phone (781) 744-8400
780 S Main St
Ste 2
Gt Barrington, MA 01230
Phone (413) 447-2498
725 North St
Pittsfield, MA 01201
Phone (413) 447-2839
197 Adams Rd
Williamstown, MA 01267
Phone (413) 458-8182
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA5936 | MA | Yes |
Addresses
Primary practice location
41 Mall Rd
Burlington, MA 01805-0001
Mailing address
25 Emerald Avenue
Medford, MA 02155
Phone (603) 370-0334
Other providers in Burlington, MA
- Laura Beth Anderson
- Lauren Anderson
- Stacey L. Anderson
- Timothy Douglas Anderson
- Michael N Andrawes
- Kristina Angell
- Anne Mittnacht Nutrition Counseling LLC
- Esfandiar Ansari
- Judy Ellen Antonelli
- Ishan Antony
All providers in Burlington, MA · Physician Assistant in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 18, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.