Jason Szelog, MD is a medicare enrolled "Ophthalmology" physician in Dorchester, Massachusetts. His current practice location is
2100 Dorchester Ave, Dorchester, Massachusetts. You can reach out to his office (for appointments etc.) via phone at
(617) 296-4000.
Jason Szelog is licensed to practice in New Hampshire (license number 23619) 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 1366936882.
Physician's Profile
| Full Name | Jason Szelog |
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| Gender | Male |
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| Speciality | Ophthalmology |
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| Location | 2100 Dorchester Ave, Dorchester, Massachusetts |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1366936882
- Provider Enumeration Date: 06/18/2018
- Last Update Date: 06/19/2023
Medicare PECOS Information:
- PECOS PAC ID: 6800122235
- Enrollment ID: I20220705001897
Medical Identifiers
Medical identifiers for Jason Szelog such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1366936882 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207W00000X | Ophthalmology | MD26571 (Maine) | Secondary |
| 174400000X | Specialist | 23619 (New Hampshire) | Secondary |
| 174400000X | Specialist | MD26571 (Maine) | Secondary |
| 207R00000X | Internal Medicine | 275986 (Massachusetts) | Secondary |
| 207W00000X | Ophthalmology | 275986 (Massachusetts) | Secondary |
| 207WX0107X | Ophthalmology - Retina Specialist | 291178 (Massachusetts) | Secondary |
| 207WX0107X | Ophthalmology - Retina Specialist | 23619 (New Hampshire) | Secondary |
| 207WX0107X | Ophthalmology - Retina Specialist | MD26571 (Maine) | Secondary |
| 207W00000X | Ophthalmology | 23619 (New Hampshire) | 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. Jason Szelog allows following entities to bill medicare on his behalf.
| Entity Name | Pratt Ophthalmology Associates Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1083660534
PECOS PAC ID: 8628960218
Enrollment ID: O20040329000101 |
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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. Jason Szelog 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 |
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Jason Szelog, MD
2 Otis Pl Apt 4,
Boston, MA 02108-1015
Ph: (603) 540-5772 | Jason Szelog, MD
2100 Dorchester Ave,
Dorchester, MA 02124-5615
Ph: (617) 296-4000 |
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