Dr Oliver Jacob Shore, MD is a
Student In An Organized Health Care Education/training Program physician based in Brookline, Massachusetts. Dr Oliver Jacob Shore is licensed to practice in Massachusetts (license number 293497) and his current practice location is 1842 Beacon St Ste 402, Brookline, Massachusetts. He can be reached at his office (for appointments etc.) via phone at
(617) 987-4455.
NPI number for Dr Oliver Jacob Shore is 1932849700 and his current mailing address is 1842 Beacon St Ste 402, Brookline, Massachusetts. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1932849700.
Physician's Profile
| Full Name | Dr Oliver Jacob Shore |
|---|
| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 1842 Beacon St Ste 402, Brookline, Massachusetts |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1932849700
- Provider Enumeration Date: 03/30/2022
- Last Update Date: 02/17/2026
Medical Identifiers
Medical identifiers for Dr Oliver Jacob Shore such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1932849700 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 1025311 (Massachusetts) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | 293497 (Massachusetts) | 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. Dr Oliver Jacob Shore is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Oliver Jacob Shore, MD
1842 Beacon St Ste 402,
Brookline, MA 02445-1922
Ph: (617) 987-4455 | Dr Oliver Jacob Shore, MD
1842 Beacon St Ste 402,
Brookline, MA 02445-1922
Ph: (617) 987-4455 |
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