Dr Edward Michael Dussom, MD in Brighton, MA

Dr Edward Michael Dussom, MD is a medicare enrolled "Surgery" physician in Brighton, Massachusetts. His current practice location is 736 Cambridge St, Brighton, Massachusetts. You can reach out to his office (for appointments etc.) via phone at (617) 789-3000.

Dr Edward Michael Dussom is licensed to practice in Massachusetts (license number 1016197) 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 1053805457.

Contact Information

	Dr Edward Michael Dussom, MD
	736 Cambridge St, Brighton, MA 02135-2907
	(617) 789-3000
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Edward Michael Dussom
Gender	Male
Speciality	Surgery
Location	736 Cambridge St, Brighton, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1053805457
Provider Enumeration Date: 06/19/2018
Last Update Date: 07/22/2025

Medicare PECOS Information:

PECOS PAC ID: 3274887740
Enrollment ID: I20231226000946

Medical Identifiers

Medical identifiers for Dr Edward Michael Dussom such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053805457	NPI	-	NPPES
110150184A	Medicaid	MA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	276408 (Massachusetts)	Secondary
208600000X	Surgery	1016197 (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 Edward Michael Dussom allows following entities to bill medicare on his behalf.

Entity Name	Bmc Affiliated Physicians, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245320910 PECOS PAC ID: 9830133123 Enrollment ID: O20050617000054

Entity Name	Steward Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629398219 PECOS PAC ID: 2860688728 Enrollment ID: O20101119000007

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 Edward Michael Dussom 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 Edward Michael Dussom, MD 960 Massachusetts Avenue, Fl 2, Boston, MA 02118-2690 Ph: () -	Dr Edward Michael Dussom, MD 736 Cambridge St, Brighton, MA 02135-2907 Ph: (617) 789-3000

Reviews and Comments

Surgery Doctors in Brighton, MA

Zahra Alhajji, Surgery Medicare: Accepting Medicare Assignments Practice Location: 736 Cambirdge St, Brighton, MA 02135 Phone: 617-789-2990 Fax: 617-789-3419
Oseogie Okojie, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 736 Cambridge St, Brighton, MA 02135 Phone: 617-789-2777
Dr. Maria Arshanskiy, MD Surgery Medicare: Medicare Enrolled Practice Location: 736 Cambridge St, Brighton, MA 02135 Phone: 617-789-2990
Marvin J Lopez, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 11 Nevins St, Ste 201, Brighton, MA 02135 Phone: 617-789-2442 Fax: 617-789-4207
Dr. Aaron Richard Dezube, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 11 Nevins St, Suite 201, Brighton, MA 02135 Phone: 617-789-2442 Fax: 617-202-4349
Grace Lassiter, MD Surgery Medicare: Medicare Enrolled Practice Location: 736 Cambridge St, Brighton, MA 02135 Phone: 617-789-2000

Dr Edward Michael Dussom, MD - Medicare Surgery in Brighton, MA