Dr Andrew Jacob Gross, PHD, DMD in Boston, MA

Dr Andrew Jacob Gross, PHD, DMD is a medicare enrolled "Dentist - Oral And Maxillofacial Surgery" provider in Boston, Massachusetts. His current practice location is 55 Fruit St., Wang Ambulatory Bldg Suite230, Boston, Massachusetts. You can reach out to his office (for appointments etc.) via phone at (617) 726-2740.

Dr Andrew Jacob Gross is licensed to practice in Massachusetts (license number DN1859764) 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 1629557012.

Contact Information

	Dr Andrew Jacob Gross, PHD, DMD
	55 Fruit St., Wang Ambulatory Bldg Suite230, Boston, MA 02114-2696
	(617) 726-2740
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Andrew Jacob Gross
Gender	Male
Speciality	Dentist - Oral And Maxillofacial Surgery
Location	55 Fruit St., Wang Ambulatory Bldg Suite230, Boston, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1629557012
Provider Enumeration Date: 08/07/2018
Last Update Date: 06/20/2023

Medicare PECOS Information:

PECOS PAC ID: 3870821176
Enrollment ID: I20230921000815

Medical Identifiers

Medical identifiers for Dr Andrew Jacob Gross such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629557012	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	10858402-8903 (Utah)	Secondary
1223S0112X	Dentist - Oral And Maxillofacial Surgery	11022 (Tennessee)	Secondary
1223S0112X	Dentist - Oral And Maxillofacial Surgery	10858402-9925 (Utah)	Secondary
1223S0112X	Dentist - Oral And Maxillofacial Surgery	DN1859764 (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. Dr Andrew Jacob Gross allows following entities to bill medicare on his behalf.

Entity Name	Massachusetts General Physicians Organization Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801874573 PECOS PAC ID: 2466365820 Enrollment ID: O20031111000434

Entity Name	The General Hospital Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023049236 PECOS PAC ID: 6507803806 Enrollment ID: O20080313000351

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. Dr Andrew Jacob Gross 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
Dr Andrew Jacob Gross, PHD, DMD 55 Fruit St Bldg Suite230, Boston, MA 02114-2696 Ph: (617) 726-2740	Dr Andrew Jacob Gross, PHD, DMD 55 Fruit St., Wang Ambulatory Bldg Suite230, Boston, MA 02114-2696 Ph: (617) 726-2740

Reviews and Comments

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Dr Andrew Jacob Gross, PHD, DMD - Medicare Dentist in Boston, MA