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JACQUELYN REILLY MD NPI 1033104328


NPI Information

NPI: 1033104328
Provider Name: JACQUELYN REILLY, MD
Classification: Otolaryngology - 207Y00000X
Entity Type: Individual
Organization: EAR NOSE AND THROAT SURGEONS OF WESTERN NEW ENGLAND LLC

PECOS Registration: Yes

Address:
100 WASON AVENUE
SUITE 110
SPRINGFIELD, MA
ZIP 01107
Phone: (413) 732-7426
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Jacquelyn Reilly, MD is an otolaryngology in Springfield, MA with 26 years of experience. The provider is an otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. Jacquelyn Reilly, MD NPI is 1033104328. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL
Graduation Year:1998

The provider's business location address is:

100 WASON AVENUE
SUITE 110
SPRINGFIELD, MA
ZIP 01107
Phone: (413) 732-7426
Fax: (413) 734-2371

The NPI 1033104328 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Injection of allergenic extracts into skin for immediate reaction analysis (HCPCS:95024)
  • Removal of impact ear wax, one ear (HCPCS:69210)
  • Diagnostic examination of voice box using flexible endoscope (HCPCS:31575)
  • Injection of incremental dosages of allergen, 2 or more injections (HCPCS:95117)
  • Diagnostic examination of nasal passages using an endoscope (HCPCS:31231)

The enumeration date for this NPI number is 9/13/2005 and was last updated on 10/5/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Y00000XOtolaryngology217113MASSACHUSETTSYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12018675MEDICAIDMASSACHUSETTS
2H91180MEDICARE UPIN
3A35840MEDICARE ID-TYPE UNSPECIFIED

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.