Dr Jason Andrew Fawley, MD is a medicare enrolled "Surgery" physician in Bost, Massachusetts. He went to Loma Linda University School Of Medicine and graduated in 2011 and has 14 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Scripps Health and his current practice location is
15 Parkman Street, Churchill Surgical Clinic, Bost, Massachusetts. You can reach out to his office (for appointments etc.) via phone at
(617) 643-7557.
Dr Jason Andrew Fawley is licensed to practice in Massachusetts (license number 280467) 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 1114218146.
Physician's Profile
| Full Name | Dr Jason Andrew Fawley |
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| Gender | Male |
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| Speciality | General Surgery |
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| Experience | 14 Years |
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| Location | 15 Parkman Street, Bost, 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 Jason Andrew Fawley attended and graduated from Loma Linda University School Of Medicine in 2011
NPI Data:
- NPI Number: 1114218146
- Provider Enumeration Date: 04/25/2011
- Last Update Date: 10/04/2019
Medicare PECOS Information:
- PECOS PAC ID: 7911253992
- Enrollment ID: I20220812001685
Medical Identifiers
Medical identifiers for Dr Jason Andrew Fawley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1114218146 | NPI | - | NPPES |
| 1114218146 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2086S0102X | Surgery - Surgical Critical Care | 280467 (Massachusetts) | Secondary |
| 208600000X | Surgery | 280467 (Massachusetts) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Scripps Health | 9234033853 | 1365 |
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 Jason Andrew Fawley allows following entities to bill medicare on his behalf.
| Entity Name | Scripps Health |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1275899072
PECOS PAC ID: 9234033853
Enrollment ID: O20031124000822 |
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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 Jason Andrew Fawley 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 Jason Andrew Fawley, MD
165 Cambridge St Ste 810,
Boston, MA 02114-2747
Ph: () - | Dr Jason Andrew Fawley, MD
15 Parkman Street, Churchill Surgical Clinic,
Bost, MA 02114-3117
Ph: (617) 643-7557 |
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