Dr Andrew Jacob Gross, PHD, DMD in Boston, MA - Medicare Oral Surgery Provider

Dr Andrew Jacob Gross, PHD, DMD is a medicare enrolled "Dentist - Oral And Maxillofacial Surgery" provider in Boston, Massachusetts. He went to Roseman Univ Of Hlth Sciences, Col Of Dental Med and graduated in 2018 and has 7 years of diverse experience with area of expertise as Oral Surgery. He is a member of the group practice University Of Utah Adult Services and his current practice location is 55 Fruit St., Wang Ambulatory Bldg Suite230, Boston, Massachusetts. You can reach out to his office (for appointments etc.) via phone at (617) 726-2740.

Dr Andrew Jacob Gross is licensed to practice in Massachusetts (license number DN1859764) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1629557012.

Contact Information

	Dr Andrew Jacob Gross, PHD, DMD
	55 Fruit St., Wang Ambulatory Bldg Suite230, Boston, MA 02114-2696
	(617) 726-2740
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Andrew Jacob Gross
Gender	Male
Speciality	Oral Surgery
Experience	7 Years
Location	55 Fruit St., Wang Ambulatory Bldg Suite230, Boston, Massachusetts
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Andrew Jacob Gross attended and graduated from Roseman Univ Of Hlth Sciences, Col Of Dental Med in 2018

NPI Data:

NPI Number: 1629557012
Provider Enumeration Date: 08/07/2018
Last Update Date: 12/10/2024

Medicare PECOS Information:

PECOS PAC ID: 3870821176
Enrollment ID: I20240112003927

Medical Identifiers

Medical identifiers for Dr Andrew Jacob Gross such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629557012	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	10858402-8903 (Utah)	Secondary
1223S0112X	Dentist - Oral And Maxillofacial Surgery	11022 (Tennessee)	Secondary
1223S0112X	Dentist - Oral And Maxillofacial Surgery	10858402-9925 (Utah)	Secondary
1223S0112X	Dentist - Oral And Maxillofacial Surgery	DN1859764 (Massachusetts)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
University Of Utah Hospitals And Clinics	Salt lake city, UT	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
University Of Utah Adult Services	0941525273	1593

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. Dr Andrew Jacob Gross allows following entities to bill medicare on his behalf.

Entity Name	University Of Utah Adult Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1114321981 PECOS PAC ID: 0941525273 Enrollment ID: O20150209001683

Entity Name	University Of Utah Dental Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1346633203 PECOS PAC ID: 0244542595 Enrollment ID: O20150630001141

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. Dr Andrew Jacob Gross 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
Dr Andrew Jacob Gross, PHD, DMD 55 Fruit St Bldg Suite230, Boston, MA 02114-2696 Ph: (617) 726-2740	Dr Andrew Jacob Gross, PHD, DMD 55 Fruit St., Wang Ambulatory Bldg Suite230, Boston, MA 02114-2696 Ph: (617) 726-2740

Reviews and Comments

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Dr Andrew Jacob Gross, PHD, DMD - Medicare Dentist in Boston, MA