Kenneth R Devellis, MD - Surgery in Medford, MA

Kenneth R Devellis, MD is a Surgery physician based in Medford, Massachusetts. Kenneth R Devellis is licensed to practice in Massachusetts (license number 40819) and his current practice location is 92 High St, Suite 32, Medford, Massachusetts. He can be reached at his office (for appointments etc.) via phone at (781) 395-5250.

NPI number for Kenneth R Devellis is 1528007515 and his current mailing address is 92 High St, Suite 32, Medford, Massachusetts. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1528007515.

Contact Information

Kenneth R Devellis, MD
92 High St, Suite 32,
Medford, MA 02155-3850
(781) 395-5250
Not Available



Physician's Profile

Full NameKenneth R Devellis
GenderMale
SpecialitySurgery
Location92 High St, Medford, Massachusetts
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1528007515
  • Provider Enumeration Date: 06/05/2006
  • Last Update Date: 08/16/2011

Medical Identifiers

Medical identifiers for Kenneth R Devellis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1528007515NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery 40819 (Massachusetts)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kenneth R Devellis is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kenneth R Devellis, MD
92 High St, Suite 32,
Medford, MA 02155-3850

Ph: (781) 395-5250
Kenneth R Devellis, MD
92 High St, Suite 32,
Medford, MA 02155-3850

Ph: (781) 395-5250

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› Verified 5 days ago


Surgery Doctors in Medford, MA

Dr. Charles D Allen, MD
Surgery
Medicare: Medicare Enrolled
Practice Location: 49 Governors Ave, Medford, MA 02155
Phone: 781-395-6122    Fax: 781-395-2595
Catherine S Tucker, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 49 Governors Ave, Hallmark Health Medical Associates Inc, Medford, MA 02155
Phone: 781-395-6122    Fax: 781-395-2595

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