Dr Timothy Marx Osborn, DDS, MD is a medicare enrolled "Oral & Maxillofacial Surgery" provider in Medford, Massachusetts. His current practice location is
287 Middlesex Ave, Medford, Massachusetts. You can reach out to his office (for appointments etc.) via phone at
(617) 286-5780.
Dr Timothy Marx Osborn is licensed to practice in Massachusetts (license number 243648) 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 1962619684.
Healthcare Provider's Profile
Full Name | Dr Timothy Marx Osborn |
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Gender | Male |
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Speciality | Oral & Maxillofacial Surgery |
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Location | 287 Middlesex Ave, Medford, Massachusetts |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1962619684
- Provider Enumeration Date: 05/16/2007
- Last Update Date: 01/09/2023
Medicare PECOS Information:
- PECOS PAC ID: 1254587819
- Enrollment ID: I20120919000628
Medical Identifiers
Medical identifiers for Dr Timothy Marx Osborn such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1962619684 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
122300000X | Dentist | D8485 (Oregon) | Secondary |
204E00000X | Oral & Maxillofacial Surgery | 243648 (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 Timothy Marx Osborn allows following entities to bill medicare on his behalf.
Entity Name | Trustees Of Boston University |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1154331916 PECOS PAC ID: 8921070822 Enrollment ID: O20040811000400 |
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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. Dr Timothy Marx Osborn 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 Timothy Marx Osborn, DDS, MD 287 Middlesex Ave, Medford, MA 02155-5056 Ph: (617) 447-3980 | Dr Timothy Marx Osborn, DDS, MD 287 Middlesex Ave, Medford, MA 02155-5056 Ph: (617) 286-5780 |
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