Jason M Fogler, PHD is a medicare enrolled "Psychologist" provider in Boston, Massachusetts. His current practice location is
300 Longwood Ave, Fegan 10, Boston, Massachusetts. You can reach out to his office (for appointments etc.) via phone at
(617) 355-6455.
Jason M Fogler is licensed to practice in New Hampshire (license number 1184) 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 1225216518.
Healthcare Provider's Profile
| Full Name | Jason M Fogler |
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| Gender | Male |
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| Speciality | Psychologist |
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| Location | 300 Longwood Ave, Boston, Massachusetts |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1225216518
- Provider Enumeration Date: 02/08/2008
- Last Update Date: 09/06/2012
Medicare PECOS Information:
- PECOS PAC ID: 4082761531
- Enrollment ID: I20090521000536
Medical Identifiers
Medical identifiers for Jason M Fogler such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1225216518 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 103T00000X | Psychologist | 1184 (New Hampshire) | 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. Jason M Fogler allows following entities to bill medicare on his behalf.
| Entity Name | Children's Hospital Pediatric Associates, Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1457306664
PECOS PAC ID: 3476541830
Enrollment ID: O20040504000964 |
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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. Jason M Fogler 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 |
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Jason M Fogler, PHD
34 Burnside Rd,
Needham, MA 02494-1949
Ph: (781) 444-2052 | Jason M Fogler, PHD
300 Longwood Ave, Fegan 10,
Boston, MA 02115-5724
Ph: (617) 355-6455 |
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