Jyoti Mishra, DMD is a medicare enrolled "Dentist" provider in Brocktom, Massachusetts. Her current practice location is
200 West Gate Drive, United Suite 135, Brocktom, Massachusetts. You can reach out to her office (for appointments etc.) via phone at
(508) 583-3840.
Jyoti Mishra is licensed to practice in Massachusetts (license number 20590) 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 1619909074.
Healthcare Provider's Profile
Full Name | Jyoti Mishra |
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Gender | Female |
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Speciality | Dentist |
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Location | 200 West Gate Drive, Brocktom, 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: 1619909074
- Provider Enumeration Date: 07/07/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 7810217452
- Enrollment ID: I20150521000762
Medical Identifiers
Medical identifiers for Jyoti Mishra such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1619909074 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
122300000X | Dentist | 20590 (Massachusetts) | Primary |
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. Jyoti Mishra 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 |
Jyoti Mishra, DMD 45 Butts Street, Newton, MA 02464 Ph: (617) 332-3950 | Jyoti Mishra, DMD 200 West Gate Drive, United Suite 135, Brocktom, MA 02301 Ph: (508) 583-3840 |
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