MEDICARE: DR. MARY KRAFT MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207L00000X	Anesthesiology Physician	39685	MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	J02400	OTHER	MA	BCBS MA
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	039685	OTHER	MA	TUFTS HEALTH PLAN

General Provider Information

NPI Number	:	1417947243
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARY KRAFT MD

Provider Business Mailing Address
First Line	:	908 ALLEN ST
Second Line	:
City	:	SPRINGFIELD
State	:	MA
Zip	:	01118-2533
Country	:	US
Telephone Number	:	781-407-7713
Fax Number	:	781-407-0998

Provider Business Practice Location Address
First Line	:	BAYSTATE MEDICAL CTR
Second Line	:	759 CHESTNUT ST
City	:	SPRINGFIELD
State	:	MA
Zip	:	01199-0001
Country	:	US
Telephone Number	:	781-407-7713
Fax Number	:	781-407-0998

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/24/2005
Last Update Date	:	02/24/2012

Similar Medicare Providers

1467527317 — DR. MICHAEL B HALLE MD
Practice Location Address:

2101 E JEFFERSON ST , KAISER PERMANENTE SPRINGFIELD MEDICARE ENROLLMENT
ROCKVILLE, MD
20852-4908

Practice Phone: 701-922-1000
Practice Fax: 703-922-1039

1205787546 — CYNTHIA LYNN PIOTROWKSKI RN
Practice Location Address:

759 CHESTNUT ST
SPRINGFIELD, MA
01199-0001

Practice Phone: 413-794-0000
Practice Fax:

1760476360 — DR. PAUL MEDREK MD
Practice Location Address:

BAYSTATE HEALTH , 3400A MAIN ST
SPRINGFIELD, MA
01199-0001

Practice Phone: 413-794-2176
Practice Fax: 413-794-5751

1073597456 — MRS. KRISTIN LYNN DALTON M.S.
Practice Location Address:

794 CHESTNUT ST
SPRINGFIELD, MA
01199-0001

Practice Phone: 413-794-0881
Practice Fax: 413-794-1666

1851359798 — MICHAEL ROTHBERG M.D.
Practice Location Address:

140 HIGH ST
SPRINGFIELD, MA
01199-0001

Practice Phone: 413-794-2511
Practice Fax: 413-794-8428

1184675282 — SUSAN LYNN MSW
Practice Location Address:

BRM 759 CHESTNUT STREET
SPRINGFIELD, MA
01199-0001

Practice Phone: 413-794-1857
Practice Fax: 413-794-1857

Directions to “ DR. MARY KRAFT MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.