Adam Detora, MD in Boston, MA - Medicare Pediatrics

Adam Detora, MD is a medicare enrolled "Pediatrics - Neonatal-perinatal Medicine" physician in Boston, Massachusetts. His current practice location is 55 Fruit St, Massachusetts General Hospital, Founders 530, Boston, Massachusetts. You can reach out to his office (for appointments etc.) via phone at (617) 724-9040.

Adam Detora is licensed to practice in Massachusetts (license number 251498) 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 1770710485.

Contact Information

	Adam Detora, MD
	55 Fruit St, Massachusetts General Hospital, Founders 530, Boston, MA 02114-2621
	(617) 724-9040
	Not Available

Map and Direction

Physician's Profile

Full Name	Adam Detora
Gender	Male
Speciality	Pediatrics - Neonatal-perinatal 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: 1770710485
Provider Enumeration Date: 06/20/2009
Last Update Date: 05/29/2015

Medicare PECOS Information:

PECOS PAC ID: 2860646882
Enrollment ID: I20170526001720

Medical Identifiers

Medical identifiers for Adam Detora such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1770710485	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2080N0001X	Pediatrics - Neonatal-perinatal Medicine	251498 (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. Adam Detora allows following entities to bill medicare on his behalf.

Entity Name	Ucsf Pediatrics Associates
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376614016 PECOS PAC ID: 6204749112 Enrollment ID: O20031106000823

Entity Name	University Of California Sfgh Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154396208 PECOS PAC ID: 5496668410 Enrollment ID: O20031113000632

Entity Name	University Of California San Francisco
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1861578973 PECOS PAC ID: 4486567229 Enrollment ID: O20031212000897

Entity Name	Ucsf Medical Group Business Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477624104 PECOS PAC ID: 3779497870 Enrollment ID: O20040622001513

Entity Name	City & County Of San Francisco
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1982737524 PECOS PAC ID: 1658280748 Enrollment ID: O20050309000770

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. Adam Detora 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
Adam Detora, MD 1600 Beacon St Apt 411, Brookline, MA 02446-2224 Ph: (774) 272-0273	Adam Detora, MD 55 Fruit St, Massachusetts General Hospital, Founders 530, Boston, MA 02114-2621 Ph: (617) 724-9040

Reviews and Comments

Pediatrics Doctors in Boston, MA

Puja Banka, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 300 Longwood Ave, Bader 203, Boston, MA 02115 Phone: 617-355-6363
Angela M. Jacques, MD Pediatrics Medicare: Medicare Enrolled Practice Location: Massachusetts General Hospital, 55 Fruit St., Boston, MA 02114 Phone: 617-726-2066
Dr. Elizabeth S Taglauer, M.D., PH.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 300 Longwood Ave, Boston, MA 02115 Phone: 617-355-6000
Cailyn Hereen Rood, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 300 Longwood Ave, Boston, MA 02115 Phone: 617-355-6000
Dr. Alon Peltz, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 300 Longwood Ave, Boston, MA 02115 Phone: 617-355-6000
Miki Nishitani, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 300 Longwood Ave, Boston, MA 02115 Phone: 617-355-6000
Vickren Pillay, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 300 Longwood Ave, Boston, MA 02115 Phone: 617-355-6000

Adam Detora, MD - Medicare Pediatrics in Boston, MA