Michael Charles O'connor Jr, MD is a medicare enrolled "Thoracic Surgery (cardiothoracic Vascular Surgery)" physician in Brighton, Massachusetts. His current practice location is
11 Nevins St, Suite 201, Brighton, Massachusetts. You can reach out to his office (for appointments etc.) via phone at
(617) 779-6382.
Michael Charles O'connor Jr is licensed to practice in Massachusetts (license number 1020222) 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 1851812218.
Physician's Profile
Full Name | Michael Charles O'connor Jr |
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Gender | Male |
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Speciality | Thoracic Surgery (cardiothoracic Vascular Surgery) |
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Location | 11 Nevins St, Brighton, 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: 1851812218
- Provider Enumeration Date: 07/06/2017
- Last Update Date: 03/13/2025
Medicare PECOS Information:
- PECOS PAC ID: 2860766714
- Enrollment ID: I20240930001581
Medical Identifiers
Medical identifiers for Michael Charles O'connor Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1851812218 | NPI | - | NPPES |
3148103 | Medicaid | NH | |
110214335A | Medicaid | MA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 036.160359 (Illinois) | Secondary |
208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 1020222 (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. Michael Charles O'connor Jr allows following entities to bill medicare on his behalf.
Entity Name | Boston University General Surgical Associates, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1104865567 PECOS PAC ID: 9830183763 Enrollment ID: O20040513000398 |
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Entity Name | Steward Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1629398219 PECOS PAC ID: 2860688728 Enrollment ID: O20101119000332 |
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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. Michael Charles O'connor Jr 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 |
Michael Charles O'connor Jr, MD 960 Massachusetts Ave, Fl 2, Boston, MA 02118-2690 Ph: () - | Michael Charles O'connor Jr, MD 11 Nevins St, Suite 201, Brighton, MA 02135 Ph: (617) 779-6382 |
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