Edwin Ishoo, MD is a medicare enrolled "Otolaryngology - Plastic Surgery Within The Head & Neck" physician in Brookline, Massachusetts. His current practice location is
One Brookline Place, Suite 321, Brookline, Massachusetts. You can reach out to his office (for appointments etc.) via phone at
(781) 552-6089.
Edwin Ishoo is licensed to practice in Massachusetts (license number 154977) 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 1760497226.
Physician's Profile
Full Name | Edwin Ishoo |
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Gender | Male |
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Speciality | Otolaryngology - Plastic Surgery Within The Head & Neck |
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Location | One Brookline Place, Brookline, Massachusetts |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1760497226
- Provider Enumeration Date: 07/30/2006
- Last Update Date: 09/23/2009
Medicare PECOS Information:
- PECOS PAC ID: 2062452352
- Enrollment ID: I20081018000077
Medical Identifiers
Medical identifiers for Edwin Ishoo such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1760497226 | NPI | - | NPPES |
2161133 | Medicaid | MA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Y00000X | Otolaryngology | 2005-0084 (New Mexico) | Secondary |
207Y00000X | Otolaryngology | 154977 (Massachusetts) | Secondary |
207YS0123X | Otolaryngology - Facial Plastic Surgery | 154977 (Massachusetts) | Secondary |
207YX0007X | Otolaryngology - Plastic Surgery Within The Head & Neck | 154977 (Massachusetts) | Primary |
207YX0602X | Otolaryngology - Otolaryngic Allergy | MD2005-0084 (New Mexico) | Secondary |
208200000X | Plastic Surgery | 154977 (Massachusetts) | Secondary |
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. Edwin Ishoo 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 |
Edwin Ishoo, MD 100 Trapelo Rd, Apt 1, Waltham, MA 02452-6329 Ph: (781) 552-6089 | Edwin Ishoo, MD One Brookline Place, Suite 321, Brookline, MA 02445 Ph: (781) 552-6089 |
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