Dr Kristofer Joondeph-breidbart, MD in Somerville, MA

Dr Kristofer Joondeph-breidbart, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Somerville, Massachusetts. His current practice location is 175 Elm St, Somerville, Massachusetts. You can reach out to his office (for appointments etc.) via phone at (617) 804-7970.

Dr Kristofer Joondeph-breidbart is licensed to practice in Massachusetts (license number 288089) 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 1891290516.

Contact Information

	Dr Kristofer Joondeph-breidbart, MD
	175 Elm St, Somerville, MA 02144-3150
	(617) 804-7970
	(617) 203-6011

Map and Direction

Physician's Profile

Full Name	Dr Kristofer Joondeph-breidbart
Gender	Male
Speciality	Psychiatry & Neurology - Psychiatry
Location	175 Elm St, Somerville, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1891290516
Provider Enumeration Date: 03/26/2018
Last Update Date: 10/01/2022

Medicare PECOS Information:

PECOS PAC ID: 1557617479
Enrollment ID: I20240926002958

Medical Identifiers

Medical identifiers for Dr Kristofer Joondeph-breidbart such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1891290516	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084P0800X	Psychiatry & Neurology - Psychiatry	314147-01 (New York)	Secondary
2084P0800X	Psychiatry & Neurology - Psychiatry	A177531 (California)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
2084P0800X	Psychiatry & Neurology - Psychiatry	288089 (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 Kristofer Joondeph-breidbart allows following entities to bill medicare on his behalf.

Entity Name	Mccd Fl Psychiatry Services Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1659003457 PECOS PAC ID: 4880064070 Enrollment ID: O20230124000482

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 Kristofer Joondeph-breidbart 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 Kristofer Joondeph-breidbart, MD 32 Madison St # 2, Somerville, MA 02143-1209 Ph: (617) 804-7970	Dr Kristofer Joondeph-breidbart, MD 175 Elm St, Somerville, MA 02144-3150 Ph: (617) 804-7970

Reviews and Comments

Psychiatry & Neurology Doctors in Somerville, MA

Judith L Herman, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 26 Central St, Somerville, MA 02143 Phone: 617-591-6114
Robert T Dunn, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 26 Central St, Somerville, MA 02143 Phone: 617-591-6124
Dr. Amanda J Gruber, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 41 Russell St, Somerville, MA 02144 Phone: 617-832-5800
John H Lloyd, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 175 Elm St, Suite C4, Somerville, MA 02144 Phone: 617-413-1486
Claudia Epelbaum, Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 26 Central St, Somerville, MA 02143 Phone: 617-591-6300
Peter Daniolos, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 26 Central St, Somerville, MA 02143 Phone: 617-665-3220
Mark Joseph Albanese, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 26 Central St, Somerville, MA 02143 Phone: 617-591-6020 Fax: 617-591-6054

Dr Kristofer Joondeph-breidbart, MD - Medicare Psychiatry & Neurology in Somerville, MA