Dr Jennifer Moore Kickham, MD - Medicare Obstetrics/gynecology in Boston, MA

Dr Jennifer Moore Kickham, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Boston, Massachusetts. She went to University Of Texas Medical School At Houston and graduated in 1998 and has 26 years of diverse experience with area of expertise as Obstetrics/gynecology. She is a member of the group practice Massachusetts General Physicians Organization Inc, The General Hospital Corporation and her current practice location is 55 Fruit Street Yaw 4, Vincent Ob/gyn Service, Boston, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (617) 724-6850.

Dr Jennifer Moore Kickham is licensed to practice in Massachusetts (license number 215787) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1033143128.

Contact Information

Dr Jennifer Moore Kickham, MD
55 Fruit Street Yaw 4, Vincent Ob/gyn Service,
Boston, MA 02114
(617) 724-6850
(617) 724-5843

Map and Direction




Physician's Profile

Full NameDr Jennifer Moore Kickham
GenderFemale
SpecialityObstetrics/gynecology
Experience26 Years
Location55 Fruit Street Yaw 4, Boston, Massachusetts
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Jennifer Moore Kickham attended and graduated from University Of Texas Medical School At Houston in 1998
  NPI Data:
  • NPI Number: 1033143128
  • Provider Enumeration Date: 07/11/2006
  • Last Update Date: 11/13/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 4486603214
  • Enrollment ID: I20050119000126

Medical Identifiers

Medical identifiers for Dr Jennifer Moore Kickham such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033143128NPI-NPPES
0178861MedicaidMA
J25357OtherMABCBS MA
215787OtherMATUFTS HEALTH PLAN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207V00000XObstetrics & Gynecology 215787 (Massachusetts)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Massachusetts General HospitalBoston, MAHospital
Brigham And Women's HospitalBoston, MAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Massachusetts General Physicians Organization Inc24663658203084
The General Hospital Corporation65078038061058

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 Jennifer Moore Kickham allows following entities to bill medicare on her behalf.
Entity NameMassachusetts General Physicians Organization Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801874573
PECOS PAC ID: 2466365820
Enrollment ID: O20031111000434
Entity NameNantucket Cottage Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447214622
PECOS PAC ID: 1759357601
Enrollment ID: O20050104000928
Entity NameThe General Hospital Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023049236
PECOS PAC ID: 6507803806
Enrollment ID: O20080313000351

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 Jennifer Moore Kickham 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 AddressPractice Location Address
Dr Jennifer Moore Kickham, MD
Po Box 9142, Mass General Physician Organization,
Charlestown, MA 02129-9142

Ph: (617) 724-6850
Dr Jennifer Moore Kickham, MD
55 Fruit Street Yaw 4, Vincent Ob/gyn Service,
Boston, MA 02114

Ph: (617) 724-6850

Reviews and Comments


Obstetrics & Gynecology Doctors in Boston, MA

Sheela S Maru, MD
Obstetrics & Gynecology
Medicare: Medicare Enrolled
Practice Location: 850 Harrison Ave, Yacc 4, Boston, MA 02118
Phone: 617-414-2000    Fax: 617-414-5798
Dr. Devon Abt Harris, MD
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 330 Brookline Ave # Shapiro8, Boston, MA 02215
Phone: 617-667-3736    Fax: 617-667-7493
Maureen E Paul, M.D.
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 1055 Commonwealth Ave, Boston, MA 02215
Phone: 917-208-9521    
Charles-chidi W Obasiolu, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: Ctr For Fertility & Repro Hlth, 133 Brookline Ave, Boston, MA 02215
Phone: 617-421-2987    Fax: 617-421-2989
Dr. Erik M Clinton, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 750 Washington St, Boston, MA 02111
Phone: 617-636-5000    
Evelyn Hall, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 800 Washington St, Boston, MA 02111
Phone: 269-552-8685    
Toni Beth Walzer, MD
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 333 Longwood Avenue, Adolescent Gynecology, Boston, MA 02115
Phone: 617-355-5785    

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