Dr Todd Andrew Jaffe, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Boston, Massachusetts. He went to University Of Michigan Medical School and graduated in 2018 and has 6 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice University Of Penn - Medical Group and 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
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and 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 | Emergency Medicine |
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| Experience | 6 Years |
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| Location | 55 Fruit St, Boston, Massachusetts |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Todd Andrew Jaffe attended and graduated from University Of Michigan Medical School in 2018
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 |
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| 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 |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| University Of Penn - Medical Group | 6204730955 | 3031 |
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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