Pro Sports Orthopedics Inc - Medicare in Brighton, MA

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Pro Sports Orthopedics Inc is a medicare enrolled "Orthopaedic Surgery" provider in Brighton, Massachusetts. Their current practice location is 20 Guest St Ste 225, Brighton, Massachusetts. You can reach out to their office (for appointments etc.) via phone at (617) 738-8642.

Pro Sports Orthopedics Inc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Pro Sports Orthopedics Inc is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1518971811.

Contact Information

Pro Sports Orthopedics Inc
20 Guest St Ste 225,
Brighton, MA 02135-2065
(617) 738-8642
(617) 202-4172

Map and Direction




Healthcare Provider's Profile

Full NamePro Sports Orthopedics Inc
TypeFacility
SpecialityOrthopaedic Surgery
Location20 Guest St Ste 225, Brighton, Massachusetts
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1518971811
  • Provider Enumeration Date: 07/29/2006
  • Last Update Date: 06/20/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 1153394796
  • Enrollment ID: O20040812001584

Medical Identifiers

Medical identifiers for Pro Sports Orthopedics Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1518971811NPI-NPPES
110070879AMedicaidMA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
111N00000XChiropractor (* (Not Available))Secondary
207X00000XOrthopaedic Surgery (* (Not Available))Primary
207XS0114XOrthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery (* (Not Available))Secondary
207XS0117XOrthopaedic Surgery - Orthopaedic Surgery Of The Spine (* (Not Available))Secondary
207XX0005XOrthopaedic Surgery - Sports Medicine (* (Not Available))Secondary
208100000XPhysical Medicine & Rehabilitation (* (Not Available))Secondary
2085N0700XRadiology - Neuroradiology (* (Not Available))Secondary
2086S0105XSurgery - Surgery Of The Hand (* (Not Available))Secondary
213ES0000XPodiatrist - Sports Medicine (* (Not Available))Secondary
247100000XRadiologic Technologist (* (Not Available))Secondary
363A00000XPhysician Assistant (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Pro Sports Orthopedics Inc acts as a billing entity for following providers:
Provider NameJohn T Hester
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1881660066
PECOS PAC ID: 8527960426
Enrollment ID: I20040122000142
Provider NameJames Allan Karlson
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1114915261
PECOS PAC ID: 4981699485
Enrollment ID: I20040415000400
Provider NameJames R Hill
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1215923735
PECOS PAC ID: 2062484462
Enrollment ID: I20040806000839
Provider NameAnthony J Schena
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1952398174
PECOS PAC ID: 3779556154
Enrollment ID: I20040813001099
Provider NameJohn J Wixted
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1306827134
PECOS PAC ID: 8325011398
Enrollment ID: I20040817001274
Provider NameThomas F Burke
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1427047224
PECOS PAC ID: 1355316399
Enrollment ID: I20040901000711
Provider NameMichael D Mason
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1477581437
PECOS PAC ID: 3072575083
Enrollment ID: I20041102000493
Provider NameL Dougla Dolgov
Provider TypePractitioner - Physical Medicine And Rehabilitation
Provider IdentifiersNPI Number: 1629044862
PECOS PAC ID: 1153211826
Enrollment ID: I20050408000518
Provider NameJames E Phillips
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1912988189
PECOS PAC ID: 3577594464
Enrollment ID: I20050831000058
Provider NameCraig R Stirrat
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1679539860
PECOS PAC ID: 4880626258
Enrollment ID: I20050907000223
Provider NameRobert E Miegel
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1255320966
PECOS PAC ID: 2062485600
Enrollment ID: I20050915000664
Provider NameJosef Simon
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1366638710
PECOS PAC ID: 8921154451
Enrollment ID: I20090924000110
Provider NameJennifer B Green
Provider TypePractitioner - Hand Surgery
Provider IdentifiersNPI Number: 1962524785
PECOS PAC ID: 5092852178
Enrollment ID: I20091021000734
Provider NameSameer Onaly Kapasi
Provider TypePractitioner - Physical Medicine And Rehabilitation
Provider IdentifiersNPI Number: 1831397355
PECOS PAC ID: 0648465005
Enrollment ID: I20101110001330
Provider NameGlen Ross
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1114985348
PECOS PAC ID: 4789633496
Enrollment ID: I20111207000051
Provider NameChristopher Damsgaard
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1932493228
PECOS PAC ID: 9436379484
Enrollment ID: I20160815001634
Provider NameDenise M Iacoviello
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1912379710
PECOS PAC ID: 4486939733
Enrollment ID: I20170329000015
Provider NameMatthew M Werger
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1447425038
PECOS PAC ID: 7113211533
Enrollment ID: I20170726000136
Provider NameSarav Shah
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1114284288
PECOS PAC ID: 1850663899
Enrollment ID: I20170825000453

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. Pro Sports Orthopedics Inc 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
Pro Sports Orthopedics Inc
20 Guest St Ste 225,
Brighton, MA 02135-2065

Ph: (617) 738-8642		Pro Sports Orthopedics Inc
20 Guest St Ste 225,
Brighton, MA 02135-2065

Ph: (617) 738-8642

Reviews and Comments



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