Dr Nicholas M Dellorusso, DMD in Boston, MA

Dr Nicholas M Dellorusso, DMD is a medicare enrolled "Dentist - Oral And Maxillofacial Surgery" provider in Boston, Massachusetts. His current practice location is 55 Fruit St, Cpz 401, Boston, Massachusetts. You can reach out to his office (for appointments etc.) via phone at (617) 726-1076.

Dr Nicholas M Dellorusso is licensed to practice in Massachusetts (license number 11263) 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 1295725596.

Contact Information

	Dr Nicholas M Dellorusso, DMD
	55 Fruit St, Cpz 401, Boston, MA 02114-2621
	(617) 726-1076
	(617) 724-6681

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Nicholas M Dellorusso
Gender	Male
Speciality	Dentist - Oral And Maxillofacial Surgery
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: 1295725596
Provider Enumeration Date: 10/27/2005
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 9133440530
Enrollment ID: I20220106000627

Medical Identifiers

Medical identifiers for Dr Nicholas M Dellorusso such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1295725596	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223S0112X	Dentist - Oral And Maxillofacial Surgery	11263 (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. Dr Nicholas M Dellorusso 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. Dr Nicholas M Dellorusso 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 Nicholas M Dellorusso, DMD Po Box 9142, Mass General Physician Organization, Charlestown, MA 02129-9142 Ph: (617) 724-0287	Dr Nicholas M Dellorusso, DMD 55 Fruit St, Cpz 401, Boston, MA 02114-2621 Ph: (617) 726-1076

Reviews and Comments

Dentist in Boston, MA

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Dr Nicholas M Dellorusso, DMD - Medicare Dentist in Boston, MA