Dr Todd Andrew Jaffe, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Boston, Massachusetts. His current practice location is
55 Fruit St, Boston, Massachusetts. You can reach out to his office (for appointments etc.) via phone at
(617) 724-4133.
Dr Todd Andrew Jaffe is licensed to practice in * (Not Available) (license number ) 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 1750879458.
Physician's Profile
| Full Name | Dr Todd Andrew Jaffe |
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| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 55 Fruit 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: 1750879458
- Provider Enumeration Date: 04/27/2018
- Last Update Date: 04/27/2018
Medicare PECOS Information:
- PECOS PAC ID: 5092064535
- Enrollment ID: I20220714003047
Medical Identifiers
Medical identifiers for Dr Todd Andrew Jaffe such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1750879458 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207P00000X | Emergency Medicine | 00 (Massachusetts) | Secondary |
| 207P00000X | Emergency Medicine | TBD (Massachusetts) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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 Todd Andrew Jaffe allows following entities to bill medicare on his behalf.
| Entity Name | University Of Penn - Medical Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1235527342 PECOS PAC ID: 6204730955 Enrollment ID: O20141111000091 |
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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 Todd Andrew Jaffe 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 Todd Andrew Jaffe, MD 125 Nashua St Ste 260, Boston, MA 02114-1109 Ph: (617) 724-4133 | Dr Todd Andrew Jaffe, MD 55 Fruit St, Boston, MA 02114-2621 Ph: (617) 724-4133 |
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