Toby M Milgrome, MD - Medicare Pediatrics in Leominster, MA

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Toby M Milgrome, MD is a medicare enrolled "Pediatrics" physician in Leominster, Massachusetts. Her current practice location is 165 Mill St, Leominster, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (978) 534-6500.

Toby M Milgrome is licensed to practice in Massachusetts (license number 223080) 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 1417919184.

Contact Information

Toby M Milgrome, MD
165 Mill St,
Leominster, MA 01453
(978) 534-6500
(978) 534-2991

Map and Direction




Physician's Profile

Full NameToby M Milgrome
GenderFemale
SpecialityPediatrics
Location165 Mill St, Leominster, Massachusetts
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1417919184
  • Provider Enumeration Date: 04/06/2006
  • Last Update Date: 02/18/2009
  Medicare PECOS Information:
  • PECOS PAC ID: 1456313832
  • Enrollment ID: I20041028000337

Medical Identifiers

Medical identifiers for Toby M Milgrome such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1417919184NPI-NPPES
042472266OtherONE HEALTH PLAN
784163OtherMVP HEALTH CARE
91201OtherFALLON COMMUNITY HEALTH
042472266OtherPRIVATE HEALTHCARE SYSTEM
042472266OtherTRICARE CHAMPUS
2087570OtherMEDICAID WELFARE
5015435OtherCIGNA HEALTH PLAN
83258OtherCHILDRENS MED SECURITY
J28304OtherBLUE SHIELD HMO BLUE
2087570MedicaidMA
5550803OtherFIRST HEALTH
5624765OtherAETNA US HEALTHCARE
419293OtherTUFTS HEALTH PLAN
AA19860OtherHARVARD PILGRIM
042472266OtherTHREE RIVERS
J28304OtherBLUE CARE ELECT
J28304OtherBLUE SHIELD INDEMNITY
A37777OtherMEDICARE B

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 223080 (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. Toby M Milgrome allows following entities to bill medicare on her behalf.
Entity NameReliant Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1720017528
PECOS PAC ID: 5597755322
Enrollment ID: O20040708000650

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. Toby M Milgrome 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
Toby M Milgrome, MD
630 Plantation St,
Worcester, MA 01605

Ph: (978) 534-6500		Toby M Milgrome, MD
165 Mill St,
Leominster, MA 01453

Ph: (978) 534-6500

Reviews and Comments


Pediatrics Doctors in Leominster, MA

Janice Lee Son, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 60 Hospital Rd, Leominster, MA 01453
Phone: 978-466-2257    
Lazaros Xanthopoulos, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 60 Hospital Rd, Leominster, MA 01453
Phone: 978-466-2000    
Michael Lyons, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 100 Hospital Rd, Suite 4, Leominster, MA 01453
Phone: 978-514-6300    Fax: 978-514-6324
Dr. Rashmi Bhopi, M.D
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 60 Hospital Rd, Leominster, MA 01453
Phone: 978-466-2257    Fax: 978-466-2291
Sejal Daga, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 100 Hospital Rd, Suite 4, Leominster, MA 01453
Phone: 978-514-6300    Fax: 978-514-6324
Ingrid Cruse, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 100 Hospital Rd, Suite 4, Leominster, MA 01453
Phone: 978-514-6300    Fax: 978-514-6324

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.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.