Dr Jack Krushell, MD is a medicare enrolled "Dermatology" physician in Somerville, Massachusetts. He went to Albany Medical College Of Union University and graduated in 1983 and has 41 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice Atrius Health Inc and his current practice location is
40 Holland St, Dermatology Dept., Somerville, Massachusetts. You can reach out to his office (for appointments etc.) via phone at
(617) 629-6250.
Dr Jack Krushell is licensed to practice in Massachusetts (license number 74445) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1558328609.
Physician's Profile
| Full Name | Dr Jack Krushell |
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| Gender | Male |
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| Speciality | Dermatology |
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| Experience | 41 Years |
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| Location | 40 Holland St, Somerville, Massachusetts |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Jack Krushell attended and graduated from Albany Medical College Of Union University in 1983
NPI Data:
- NPI Number: 1558328609
- Provider Enumeration Date: 05/01/2006
- Last Update Date: 01/25/2021
Medicare PECOS Information:
- PECOS PAC ID: 0042228116
- Enrollment ID: I20060331000057
Medical Identifiers
Medical identifiers for Dr Jack Krushell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1558328609 | NPI | - | NPPES |
| 3204545 | Medicaid | MA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207N00000X | Dermatology | 74445 (Massachusetts) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Atrius Health Inc | 4789588641 | 1130 |
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 Jack Krushell allows following entities to bill medicare on his behalf.
| Entity Name | Atrius Health Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1871639914
PECOS PAC ID: 4789588641
Enrollment ID: O20031121000582 |
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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 Jack Krushell 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 |
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Dr Jack Krushell, MD
40 Holland St, Dermatology Dept.,
Somerville, MA 02144-2705
Ph: (617) 629-6250 | Dr Jack Krushell, MD
40 Holland St, Dermatology Dept.,
Somerville, MA 02144-2705
Ph: (617) 629-6250 |
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