Ellie S Kwak, MD in Boston, MA - Medicare Diagnostic Radiology

Ellie S Kwak, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Boston, Massachusetts. She went to Tufts University School Of Medicine and graduated in 2012 and has 12 years of diverse experience with area of expertise as Diagnostic Radiology. She is a member of the group practice Inova Reston Mri Center Llc, Ifrc Llc, Fairfax Radiological Consultants Pc, Ifrc Llc, Fairfax Radiological Consultants Pc, Ifrc Llc and her current practice location is 75 Francis St, Boston, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (617) 732-6757.

Ellie S Kwak is licensed to practice in Virginia (license number 0101265884) 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 1912262551.

Contact Information

	Ellie S Kwak, MD
	75 Francis St, Boston, MA 02115-6110
	(617) 732-6757
	Not Available

Map and Direction

Physician's Profile

Full Name	Ellie S Kwak
Gender	Female
Speciality	Diagnostic Radiology
Experience	12 Years
Location	75 Francis St, Boston, Massachusetts
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Ellie S Kwak attended and graduated from Tufts University School Of Medicine in 2012

NPI Data:

NPI Number: 1912262551
Provider Enumeration Date: 07/10/2012
Last Update Date: 02/04/2022

Medicare PECOS Information:

PECOS PAC ID: 0446525414
Enrollment ID: I20190204001681

Medical Identifiers

Medical identifiers for Ellie S Kwak such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1912262551	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	269509 (Massachusetts)	Secondary
2085R0202X	Radiology - Diagnostic Radiology	D0087546 (Maryland)	Secondary
2085R0202X	Radiology - Diagnostic Radiology	0101265884 (Virginia)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Inova Alexandria Hospital	Alexandria, VA	Hospital
Inova Mount Vernon Hospital	Alexandria, VA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Inova Reston Mri Center Llc	2961540042	77
Ifrc Llc	2961829882	98
Fairfax Radiological Consultants Pc	8628970324	116
Ifrc Llc	2961829882	98
Fairfax Radiological Consultants Pc	8628970324	116
Ifrc Llc	2961829882	98

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. Ellie S Kwak allows following entities to bill medicare on her behalf.

Entity Name	Fairfax Radiological Consultants Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1114902509 PECOS PAC ID: 8628970324 Enrollment ID: O20060404000840

Entity Name	Inova Reston Mri Center Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1972838993 PECOS PAC ID: 2961540042 Enrollment ID: O20091110000507

Entity Name	Ifrc Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1508405317 PECOS PAC ID: 2961829882 Enrollment ID: O20200831000860

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. Ellie S Kwak 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
Ellie S Kwak, MD 2722 Merrilee Dr, Ste 230, Fairfax, VA 22031-4400 Ph: (703) 698-4444	Ellie S Kwak, MD 75 Francis St, Boston, MA 02115-6110 Ph: (617) 732-6757

Reviews and Comments

Radiology Doctors in Boston, MA

Jennifer Michelle Thomas, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 75 Francis St, Department Of Radiology, Boston, MA 02115 Phone: 617-732-6248
Dr. Meghavi Mashar, MB BCHIR Radiology Medicare: Not Enrolled in Medicare Practice Location: 330 Brookline Ave, Boston, MA 02215 Phone: 617-667-7000
Rafeeque A Bhadelia, M.D Radiology Medicare: Accepting Medicare Assignments Practice Location: 330 Brookline Ave, Bidmc Wcc90, Boston, MA 02215 Phone: 617-754-2058 Fax: 617-754-2004
Dr. Srinivasan Mukundan Jr., M.D. Radiology Medicare: Medicare Enrolled Practice Location: 75 Francis St, Brigham And Women's Hospital, Boston, MA 02115 Phone: 617-732-7260
Raymond W Liu, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 55 Fruit St, Grb 293, Boston, MA 02114 Phone: 917-923-2079
Dr. Hillary R. Kelly, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: Massachusetts General Hospital, 55 Fruit Street, Grb-273a, Boston, MA 02114 Phone: 617-726-8320 Fax: 617-724-3338
Dr. Tina Young Poussaint, MD Radiology Medicare: May Accept Medicare Assignments Practice Location: 300 Longwood Ave, Boston, MA 02115 Phone: 617-355-6450

Ellie S Kwak, MD - Medicare Diagnostic Radiology in Boston, MA