Dr Dustin Lee Cotliar, MD is a medicare enrolled "Emergency Medicine" physician in Dedham, Massachusetts. His current practice location is
983 Boston-providence Turnpike, Dedham, Massachusetts. You can reach out to his office (for appointments etc.) via phone at
(781) 819-6400.
Dr Dustin Lee Cotliar is licensed to practice in Massachusetts (license number 273956) 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 1649665233.
Physician's Profile
Full Name | Dr Dustin Lee Cotliar |
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Gender | Male |
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Speciality | Emergency Medicine |
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Location | 983 Boston-providence Turnpike, Dedham, 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: 1649665233
- Provider Enumeration Date: 04/01/2015
- Last Update Date: 11/15/2023
Medicare PECOS Information:
- PECOS PAC ID: 1850646878
- Enrollment ID: I20180615000531
Medical Identifiers
Medical identifiers for Dr Dustin Lee Cotliar such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1649665233 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207P00000X | Emergency Medicine | 322459 (Louisiana) | Secondary |
207P00000X | Emergency Medicine | 273956 (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 Dustin Lee Cotliar allows following entities to bill medicare on his behalf.
Entity Name | Convenientmd - Ffs Uc Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1629769096 PECOS PAC ID: 5193186492 Enrollment ID: O20230921002173 |
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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 Dustin Lee Cotliar 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 Dustin Lee Cotliar, MD 360 Us Highway 1 Byp Unit 102, Portsmouth, NH 03801-7105 Ph: (603) 410-6700 | Dr Dustin Lee Cotliar, MD 983 Boston-providence Turnpike, Dedham, MA 02026 Ph: (781) 819-6400 |
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