John R Bogdasarian, MD is a medicare enrolled "Otolaryngology" physician in Fitchburg, Massachusetts. His current practice location is
33 Electric Ave, Fitchburg, Massachusetts. You can reach out to his office (for appointments etc.) via phone at
(978) 342-1200.
John R Bogdasarian is licensed to practice in Massachusetts (license number 33995) 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 1265429617.
Physician's Profile
| Full Name | John R Bogdasarian |
|---|
| Gender | Male |
|---|
| Speciality | Otolaryngology |
|---|
| Location | 33 Electric Ave, Fitchburg, Massachusetts |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1265429617
- Provider Enumeration Date: 09/30/2005
- Last Update Date: 11/27/2017
Medicare PECOS Information:
- PECOS PAC ID: 7214967462
- Enrollment ID: I20050817000290
Medical Identifiers
Medical identifiers for John R Bogdasarian such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1265429617 | NPI | - | NPPES |
| 2064111 | Medicaid | MA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207Y00000X | Otolaryngology | 33995 (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. John R Bogdasarian 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 |
John R Bogdasarian, MD 33 Electric Avenue, Suite 202, Fitchburg, MA 01420 Ph: (978) 342-1200 | John R Bogdasarian, MD 33 Electric Ave, Fitchburg, MA 01420-7954 Ph: (978) 342-1200 |
Reviews and Comments