Dr Bruce Robert Rosen, MD PHD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Charlestown, Massachusetts. His current practice location is
149 13th St, 149 2301 Mgh Imaging Center, Charlestown, Massachusetts. You can reach out to his office (for appointments etc.) via phone at
(617) 726-5122.
Dr Bruce Robert Rosen is licensed to practice in Massachusetts (license number 57775) 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 1720052947.
Physician's Profile
Full Name | Dr Bruce Robert Rosen |
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Gender | Male |
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Speciality | Radiology - Diagnostic Radiology |
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Location | 149 13th St, Charlestown, 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: 1720052947
- Provider Enumeration Date: 02/14/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 1557547163
- Enrollment ID: I20110517000108
Medical Identifiers
Medical identifiers for Dr Bruce Robert Rosen such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1720052947 | NPI | - | NPPES |
3020126 | Medicaid | MA | |
057775 | Other | MA | TUFTS HEALTH PLAN |
J06262 | Other | MA | BCBS MA |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2085R0202X | Radiology - Diagnostic Radiology | 57775 (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 Bruce Robert Rosen allows following entities to bill medicare on his behalf.
Entity Name | Massachusetts General Physicians Organization Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1801874573 PECOS PAC ID: 2466365820 Enrollment ID: O20031111000434 |
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Entity Name | The General Hospital Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1023049236 PECOS PAC ID: 6507803806 Enrollment ID: O20080313000351 |
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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 Bruce Robert Rosen 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 Bruce Robert Rosen, MD PHD Po Box 9142, Mass General Physician Organization, Charlestown, MA 02129-9142 Ph: (617) 724-0287 | Dr Bruce Robert Rosen, MD PHD 149 13th St, 149 2301 Mgh Imaging Center, Charlestown, MA 02129 Ph: (617) 726-5122 |
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