Theodore C Weatherwax, MD in Boston, MA - Medicare Family Medicine

Theodore C Weatherwax, MD is a medicare enrolled "Family Medicine - Addiction Medicine" physician in Boston, Massachusetts. His current practice location is 55 Fruit St, Boston, Massachusetts. You can reach out to his office (for appointments etc.) via phone at (617) 726-3557.

Theodore C Weatherwax is licensed to practice in Massachusetts (license number 291350) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1144882879.

Contact Information

	Theodore C Weatherwax, MD
	55 Fruit St, Boston, MA 02114-2621
	(617) 726-3557
	Not Available

Map and Direction

Physician's Profile

Full Name	Theodore C Weatherwax
Gender	Male
Speciality	Family Medicine - Addiction Medicine
Location	55 Fruit St, Boston, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1144882879
Provider Enumeration Date: 07/02/2019
Last Update Date: 11/23/2022

Medicare PECOS Information:

PECOS PAC ID: 3577894096
Enrollment ID: I20230630000466

Medical Identifiers

Medical identifiers for Theodore C Weatherwax such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1144882879	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	MDRE.ML.60958797 (Washington)	Secondary
207QA0401X	Family Medicine - Addiction Medicine	291350 (Massachusetts)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Theodore C Weatherwax allows following entities to bill medicare on his behalf.

Entity Name	Massachusetts General Physicians Organization Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801874573 PECOS PAC ID: 2466365820 Enrollment ID: O20031111000434

Entity Name	The General Hospital Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023049236 PECOS PAC ID: 6507803806 Enrollment ID: O20080313000351

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Theodore C Weatherwax is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Theodore C Weatherwax, MD 2209 E 32nd St, Tacoma, WA 98404-4922 Ph: (253) 593-0232	Theodore C Weatherwax, MD 55 Fruit St, Boston, MA 02114-2621 Ph: (617) 726-3557

Reviews and Comments

Family Medicine Doctors in Boston, MA

Lidya H Wlasiuk, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 850 Harrison Ave, Yacc 5, Boston, MA 02118 Phone: 617-414-2080 Fax: 617-414-2090
Brian R Penti, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 850 Harrison Ave, Yacc 4, Boston, MA 02118 Phone: 617-414-2080 Fax: 617-414-2090
Alysia L Green, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 915 Commonwealth Ave Rear, Boston, MA 02215 Phone: 617-358-3400 Fax: 617-358-3710
Shahnaz Rahman, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 820 Harrison Ave, Boston, MA 02118 Phone: 404-259-4008
Dr. Amy Min He, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 637 Washington St, Boston, MA 02124 Phone: 617-825-9660
Katherine A Gergen Barnett, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 11 Melnea Cass Blvd, Boston, MA 02119 Phone: 617-414-2080 Fax: 617-414-2090
Dr. Xiangxin Chen, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 145 South St, Boston, MA 02111 Phone: 617-482-7555 Fax: 617-482-2930

Theodore C Weatherwax, MD - Medicare Family Medicine in Boston, MA