JACQUELYN R. MCKEAN MD – NPI #1356352413
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Health Care Provider Taxonomy Code for Family Medicine

JACQUELYN MCKEAN is a physician located in ATHOL, MA. NPPES has assigned the NPI number 1356352413 to JACQUELYN MCKEAN on August 11, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 6 years ago on Jan 30, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JACQUELYN MCKEAN below.

NPI Profile for
JACQUELYN R. MCKEAN

NPI Number
1356352413
Enumeration Date

(about 20 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
JACQUELYN R. MCKEAN
Credentials
MD
Primary location
81 RESERVOIR DR
ATHOL, MA 01331-4901
Phone: (978) 248-5135 Fax:
1 Other location(s):
26 Queen St
MEDICAL
Worcester, MA 01610-2473
Phone: (508) 860-7700
Fax: (508) 860-7990
Mailing address
26 QUEEN ST
MEDICAL
WORCESTER, MA 01610-2473
Phone: (508) 860-7700 Fax: (508) 860-7990
Sole Proprietor
No
Updated
Certification Date
Jan 30, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for JACQUELYN MCKEAN

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

See identifiers
DescriptionIssuerStateIdentifier
OTHERBCBSMAJ23197
OTHERBCBS-GROUPMAY10141
OTHERCIGNAMA2437886
OTHERCMSPMA81738
OTHERFALLON SELECTMA49201
OTHERHARVARD PILGRIMMAAA25557
OTHERNETWORK HEALTHMA97679702
OTHERNETWORK HEALTH-GROUPMA042485308
OTHERNHPMA0035749
OTHERNHP-GROUPMA0006767
MEDICAIDMA1300709
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)		 MA 206096

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
UNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL - Graduated 1997
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
JACQUELYN MCKEAN is affiliated with the following medical group(s):
  • HOSPITAL
    • ATHOL MEMORIAL HOSPITAL
      2033 MAIN STREET
      ATHOL, MA 01331
    • HEYWOOD HOSPITAL -
      242 GREEN STREET
      GARDNER, MA 01440
  • HOME HEALTH AGENCY
    • GVNA HEALTHCARE INC
      34 PEARLY LANE
      GARDNER, MA 01440

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.