Provider Demographics
NPI:1902990435
Name:MCKEE, ANDREA BERTRAM (MD)
Entity Type:Individual
Prefix:DR
First Name:ANDREA
Middle Name:BERTRAM
Last Name:MCKEE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 MERRILL ST
Mailing Address - Street 2:
Mailing Address - City:AMESBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01913-4306
Mailing Address - Country:US
Mailing Address - Phone:978-388-6618
Mailing Address - Fax:978-388-5528
Practice Address - Street 1:LAHEY CLINIC
Practice Address - Street 2:41 MALL ROAD
Practice Address - City:BURLINGTON
Practice Address - State:MA
Practice Address - Zip Code:01805-0001
Practice Address - Country:US
Practice Address - Phone:603-663-1800
Practice Address - Fax:603-668-4303
Is Sole Proprietor?:No
Enumeration Date:2006-10-02
Last Update Date:2013-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH112002085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
011200OtherTUFTS
7212561OtherAETNA
000000052102OtherMATTHEW THORNTON
ME02-0449797Medicaid
2400070OtherUNITED HEALTHCARE
NH30201465Medicaid
64866OtherCIGNA
NH2057OtherFIRST SENIORITY
01Y003118NH01OtherANTHEM BCBS
1003118OtherHMO BLUE
NH2057OtherHARVARD PILGRIM
MA0130541Medicaid
02-0449797OtherHEALTHCARE VALUE MANAGEME
1003118OtherBLUE CHOICE
02-04449797OtherPHCS
77828OtherHEALTHY START
02-0449797OtherTRICARE
000000052102OtherMATTHEW THORNTON
02-0449797OtherTRICARE
MA0130541Medicaid