Jennifer Ann Reidy, M.D.
Family Medicine, Hospice and Palliative Medicine in Worcester, MA. Individual provider (NPI-1).
NPI number1962416628
StatusActive
Last updated in NPPESDec 15, 2020
Details
- NPI
- 1962416628
- Entity type
- Individual (NPI-1)
- Name
- Jennifer Ann Reidy
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 28, 2006
- Certification date
- Dec 15, 2020
- Last updated
- Dec 15, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - HOSPICE/PALLIATIVE CARE
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207QH0002X | Family Medicine, Hospice and Palliative Medicine | 223107 | MA | Yes |
| 207Q00000X | Family Medicine | 223107 | MA |
Practice location
55 Lake Ave NWorcester, MA 01655-0002
Phone 508-334-8630 · Fax 774-441-6710
Mailing address
Po Box 415348Boston, MA 02241-5348
Phone 800-225-8885 · Fax 508-334-1977
Other practice locations
119 Belmont St
Worcester, MA 01605-2903
Worcester, MA 01605-2903
Phone 508-334-8630 · Fax 508-334-8271
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Hospice and Palliative Medicine (Family Medicine) Physician providers in Worcester, MA
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