Marie D Bomm, MD, PHD in Boston, MA - Medicare Psychiatry & Neurology

Marie D Bomm, MD, PHD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Boston, Massachusetts. Her current practice location is 55 Fruit St, Boston, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (267) 565-8612.

Marie D Bomm is licensed to practice in Massachusetts (license number 1015744) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1194304782.

Contact Information

	Marie D Bomm, MD, PHD
	55 Fruit St, Boston, MA 02114-2621
	(267) 565-8612
	Not Available

Map and Direction

Physician's Profile

Full Name	Marie D Bomm
Gender	Female
Speciality	Psychiatry & Neurology - Psychiatry
Location	55 Fruit St, Boston, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1194304782
Provider Enumeration Date: 04/02/2021
Last Update Date: 08/07/2025

Medicare PECOS Information:

PECOS PAC ID: 9032558622
Enrollment ID: I20240416000837

Medical Identifiers

Medical identifiers for Marie D Bomm such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1194304782	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084P0800X	Psychiatry & Neurology - Psychiatry	1015744 (Massachusetts)	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. Marie D Bomm allows following entities to bill medicare on her behalf.

Entity Name	Mass General Brigham Medical Group Northern Massachusetts Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588606123 PECOS PAC ID: 3577467224 Enrollment ID: O20050429000668

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. Marie D Bomm 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
Marie D Bomm, MD, PHD 55 Fruit St, Boston, MA 02114-2621 Ph: (267) 565-8612	Marie D Bomm, MD, PHD 55 Fruit St, Boston, MA 02114-2621 Ph: (267) 565-8612

Reviews and Comments

Psychiatry & Neurology Doctors in Boston, MA

Dr. Lee Edwin Goldstein, M.D., PH.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 670 Albany St, Boston, MA 02118 Phone: 617-414-8361 Fax: 617-414-7073
Dr. Joseph Yeretsian, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 361 Newbury St Fl 5, Boston, MA 02115 Phone: 617-865-4910 Fax: 617-507-1426
Dr. Michael Gulliver Erkkinen, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 75 Francis St, Boston, MA 02115 Phone: 617-732-5500
Dr. Joseph Jeffrey Taylor, M.D., PH.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 60 Fenwood Rd, Boston, MA 02115 Phone: 617-732-5500
Sanjay Menon, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 55 Fruit St., Massachusetts General Hospital, Boston, MA 02114 Phone: 857-238-5600
Fatemeh Mohammadpour Touserkani, Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 300 Longwood Ave, Boston, MA 02115 Phone: 617-355-6000
Lara Basovic, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 55 Fruit St, Boston, MA 02114 Phone: 617-726-3311

Marie D Bomm, MD, PHD - Medicare Psychiatry & Neurology in Boston, MA