Dr Theodore Robertson Pak, MD, PHD in Boston, MA

Dr Theodore Robertson Pak, MD, PHD is a medicare enrolled "Internal Medicine - Infectious Disease" physician in Boston, Massachusetts. His current practice location is 55 Fruit St, Boston, Massachusetts. You can reach out to his office (for appointments etc.) via phone at (617) 726-5820.

Dr Theodore Robertson Pak is licensed to practice in Massachusetts (license number 291119) 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 1013476100.

Contact Information

	Dr Theodore Robertson Pak, MD, PHD
	55 Fruit St, Boston, MA 02114-2696
	(617) 726-5820
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Theodore Robertson Pak
Gender	Male
Speciality	Internal Medicine - Infectious Disease
Location	55 Fruit St, Boston, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1013476100
Provider Enumeration Date: 03/18/2019
Last Update Date: 07/23/2024

Medicare PECOS Information:

PECOS PAC ID: 0042549099
Enrollment ID: I20230825002019

Medical Identifiers

Medical identifiers for Dr Theodore Robertson Pak such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1013476100	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	291119 (Massachusetts)	Secondary
207RI0200X	Internal Medicine - Infectious Disease	291119 (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 Theodore Robertson Pak allows following entities to bill medicare on his behalf.

Entity Name	Mt Auburn Professional Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1992750996 PECOS PAC ID: 6103725031 Enrollment ID: O20040527001374

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 Theodore Robertson Pak 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 Theodore Robertson Pak, MD, PHD 330 Mt Auburn St, Parsons 2, Boston, MA 02138-5597 Ph: (617) 499-5083	Dr Theodore Robertson Pak, MD, PHD 55 Fruit St, Boston, MA 02114-2696 Ph: (617) 726-5820

Reviews and Comments

Internal Medicine Doctors in Boston, MA

Kaitlyn My-tu Lam, MBBS Infectious Disease Medicare: Not Enrolled in Medicare Practice Location: Massachusetts General Hospital, 55 Fruit Street, Boston, MA 02114 Phone: 617-724-7738
Kui Toh Gerard Leong, M.D. Infectious Disease Medicare: Not Enrolled in Medicare Practice Location: 55 Fruit Street, Massachusetts General Hospital, Boston, MA 02114 Phone: 617-726-8862
Ruma Rajbhandari, Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 75 Francis St, Boston, MA 02115 Phone: 617-525-6841
Alaka Ray, M.D. Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: Massachusetts General Hospital, 55 Fruit Street, Boston, MA 02114 Phone: 617-726-2066
Meghan E Sise, M.D. Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: Massachusetts General Hospital, 55 Fruit Street, Boston, MA 02114 Phone: 617-726-2862
Aaron Dickstein, M.D. Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 800 Washington St, Box 233, Boston, MA 02111 Phone: 617-636-5883 Fax: 617-636-9292
Dr. Felicia Elizabeth Patch, MD Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 801 Massachusetts Ave, Crosstown 2, Boston, MA 02118 Phone: 617-414-4376 Fax: 617-414-4676

Dr Theodore Robertson Pak, MD, PHD - Medicare Internal Medicine in Boston, MA