Pawarissara Osathanugrah, - Medicare Ophthalmology in Boston, MA

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Pawarissara Osathanugrah, is a medicare enrolled "Ophthalmology" physician in Boston, Massachusetts. Her current practice location is 85 E Concord St, Boston, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (617) 414-4020.

Pawarissara Osathanugrah is licensed to practice in Florida (license number ME166255) 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 1679102669.

Contact Information

Pawarissara Osathanugrah,
85 E Concord St,
Boston, MA 02118-2335
(617) 414-4020
Not Available

Map and Direction




Physician's Profile

Full NamePawarissara Osathanugrah
GenderFemale
SpecialityOphthalmology
Location85 E Concord St, Boston, Massachusetts
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1679102669
  • Provider Enumeration Date: 04/02/2020
  • Last Update Date: 09/19/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 4981006418
  • Enrollment ID: I20240712001270

Medical Identifiers

Medical identifiers for Pawarissara Osathanugrah such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1679102669NPI-NPPES
PENDINGMedicaidFL
V5309OtherFLHFMG

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 284761 (Massachusetts)Secondary
207W00000XOphthalmology ME166255 (Florida)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. Pawarissara Osathanugrah allows following entities to bill medicare on her behalf.
Entity NamePalm Beach Eye Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1497753305
PECOS PAC ID: 6901846757
Enrollment ID: O20050511000230
Entity NameBedotto Wallace Clewner & Kelly, Md, Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285654723
PECOS PAC ID: 0446353478
Enrollment ID: O20070313000379

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. Pawarissara Osathanugrah 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 AddressPractice Location Address
Pawarissara Osathanugrah,
85 E Concord St,
Boston, MA 02118-2335

Ph: () -		Pawarissara Osathanugrah,
85 E Concord St,
Boston, MA 02118-2335

Ph: (617) 414-4020

Reviews and Comments


Ophthalmology Doctors in Boston, MA

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Phone: 617-647-1226    Fax: 617-573-3181
Matthew Leidl, MD
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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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