Thomas Blake Kilgore, DMD in Boston, MA - Medicare Dentist Provider

Thomas Blake Kilgore, DMD is a medicare enrolled "Dentist - Oral And Maxillofacial Surgery" provider in Boston, Massachusetts. His current practice location is 100 East Newton Street, Room 407, Boston, Massachusetts. You can reach out to his office (for appointments etc.) via phone at (617) 638-4650.

Thomas Blake Kilgore is licensed to practice in Massachusetts (license number 11211) 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 1568470581.

Contact Information

	Thomas Blake Kilgore, DMD
	100 East Newton Street, Room 407, Boston, MA 02118-2526
	(617) 638-4650
	(617) 638-4970

Map and Direction

Healthcare Provider's Profile

Full Name	Thomas Blake Kilgore
Gender	Male
Speciality	Dentist - Oral And Maxillofacial Surgery
Location	100 East Newton Street, 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: 1568470581
Provider Enumeration Date: 08/04/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 9739211434
Enrollment ID: I20100715000617

Medical Identifiers

Medical identifiers for Thomas Blake Kilgore such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1568470581	NPI	-	NPPES
16311UH	Other		HARVARD
X03644	Other	MA	BCBS
0252921	Medicaid	MA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223S0112X	Dentist - Oral And Maxillofacial Surgery	11211 (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. Thomas Blake Kilgore allows following entities to bill medicare on his behalf.

Entity Name	Trustees Of Boston University
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154331916 PECOS PAC ID: 8921070822 Enrollment ID: O20040811000400

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. Thomas Blake Kilgore 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
Thomas Blake Kilgore, DMD 715 Albany St, Robinson Building B307, Boston, MA 02118-2526 Ph: (617) 638-4650	Thomas Blake Kilgore, DMD 100 East Newton Street, Room 407, Boston, MA 02118-2526 Ph: (617) 638-4650

Reviews and Comments

Dentist in Boston, MA

Dr. Rocio Saavedra, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1 Kneeland St, Boston, MA 02111 Phone: 617-636-6971
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Daimery Heinstein, Dentist Medicare: Medicare Enrolled Practice Location: 274 Newbury St, Boston, MA 02116 Phone: 617-262-0106
Dr. Jeffrey Brian Reardon, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 300 Longwood Ave # Hu226, Boston, MA 02115 Phone: 617-355-4426
Jacob Fortenberry, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 635 Albany St, Boston, MA 02118 Phone: 601-278-0923
Dr. Richard Rothstein, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 274 Newbury St, Boston, MA 02116 Phone: 617-262-0106

Thomas Blake Kilgore, DMD - Medicare Dentist in Boston, MA