Anna Vavra Sutherland, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Boston, Massachusetts. Her current practice location is
609 Albany St, Boston, Massachusetts. You can reach out to her office (for appointments etc.) via phone at
(617) 358-9700.
Anna Vavra Sutherland is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1881222388.
Physician's Profile
Full Name | Anna Vavra Sutherland |
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Gender | Female |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 609 Albany St, Boston, Massachusetts |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1881222388
- Provider Enumeration Date: 03/30/2020
- Last Update Date: 07/21/2022
Medicare PECOS Information:
- PECOS PAC ID: 1153725890
- Enrollment ID: I20210803002463
Medical Identifiers
Medical identifiers for Anna Vavra Sutherland such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1881222388 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207N00000X | Dermatology | 289491 (Massachusetts) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
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. Anna Vavra Sutherland 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 |
Anna Vavra Sutherland, MD 609 Albany St, Boston, MA 02118-2515 Ph: () - | Anna Vavra Sutherland, MD 609 Albany St, Boston, MA 02118-2515 Ph: (617) 358-9700 |
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