Dr John Robert West Jr, MD is a medicare enrolled "Dermatology - Mohs-micrographic Surgery" physician in Mystic, Connecticut. He went to University Of California, San Diego School Of Medicine and graduated in 1986 and has 38 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice John R. West Md Inc and his current practice location is
34 Water Street, Suite 2, Mystic, Connecticut. You can reach out to his office (for appointments etc.) via phone at
(860) 572-9994.
Dr John Robert West Jr is licensed to practice in Connecticut (license number 44204) 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 1487606117.
Physician's Profile
| Full Name | Dr John Robert West Jr |
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| Gender | Male |
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| Speciality | Dermatology |
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| Experience | 38 Years |
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| Location | 34 Water Street, Mystic, Connecticut |
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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 John Robert West Jr attended and graduated from University Of California, San Diego School Of Medicine in 1986
NPI Data:
- NPI Number: 1487606117
- Provider Enumeration Date: 05/17/2006
- Last Update Date: 10/28/2014
Medicare PECOS Information:
- PECOS PAC ID: 3375547763
- Enrollment ID: I20060825000324
Medical Identifiers
Medical identifiers for Dr John Robert West Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1487606117 | NPI | - | NPPES |
| 010044204CT01 | Other | CT | BLUE CROSS BLUE SHIELD |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207ND0101X | Dermatology - Mohs-micrographic Surgery | G61079 (California) | Secondary |
| 207ND0101X | Dermatology - Mohs-micrographic Surgery | 44204 (Connecticut) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| John R. West Md Inc | 5092719484 | 3 |
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 John Robert West Jr allows following entities to bill medicare on his behalf.
| Entity Name | John R. West Md Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1376575324
PECOS PAC ID: 5092719484
Enrollment ID: O20060825000337 |
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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 John Robert West Jr 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 John Robert West Jr, MD
34 Water Street, Suite 2,
Mystic, CT 06355
Ph: (860) 572-9994 | Dr John Robert West Jr, MD
34 Water Street, Suite 2,
Mystic, CT 06355
Ph: (860) 572-9994 |
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