Ethan S Brackett, MD in Boston, MA - Medicare Family Practice

Ethan S Brackett, MD is a medicare enrolled "Family Medicine" physician in Boston, Massachusetts. He graduated from medical school in 1994 and has 30 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Fenway Community Health Center, Inc and his current practice location is 1340 Boylston St, Boston, Massachusetts. You can reach out to his office (for appointments etc.) via phone at (617) 247-7555.

Ethan S Brackett is licensed to practice in Massachusetts (license number 209141) 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 1912970633.

Contact Information

	Ethan S Brackett, MD
	1340 Boylston St, Boston, MA 02215-4302
	(617) 247-7555
	(617) 421-9871

Map and Direction

Physician's Profile

Full Name	Ethan S Brackett
Gender	Male
Speciality	Family Practice
Experience	30 Years
Location	1340 Boylston St, Boston, Massachusetts
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Ethan S Brackett graduated from medical school in 1994

NPI Data:

NPI Number: 1912970633
Provider Enumeration Date: 02/13/2006
Last Update Date: 09/17/2024

Medicare PECOS Information:

PECOS PAC ID: 5193986685
Enrollment ID: I20120410000260

Medical Identifiers

Medical identifiers for Ethan S Brackett such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1912970633	NPI	-	NPPES
0145670	Medicaid	MA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	209141 (Massachusetts)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Fenway Community Health Center, Inc	0941299655	44

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. Ethan S Brackett allows following entities to bill medicare on his behalf.

Entity Name	Fenway Community Health Center, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003804725 PECOS PAC ID: 0941299655 Enrollment ID: O20040508000030

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. Ethan S Brackett 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
Ethan S Brackett, MD 1340 Boylston St, Boston, MA 02215-4302 Ph: (617) 247-7555	Ethan S Brackett, MD 1340 Boylston St, Boston, MA 02215-4302 Ph: (617) 247-7555

Reviews and Comments

Family Medicine Doctors in Boston, MA

Lidya H Wlasiuk, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 850 Harrison Ave, Yacc 5, Boston, MA 02118 Phone: 617-414-2080 Fax: 617-414-2090
Nestor Alejandro Sainz Rueda, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 55 Fruit St, Boston, MA 02114 Phone: 800-711-4644
Madhuri Preeti Rao, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 55 Fruit St, Boston, MA 02114 Phone: 617-889-8580
Brian R Penti, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 850 Harrison Ave, Yacc 4, Boston, MA 02118 Phone: 617-414-2080 Fax: 617-414-2090
Shahnaz Rahman, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 820 Harrison Ave, Boston, MA 02118 Phone: 404-259-4008
Dr. Rohit Abraham, MD, MPH, MAT Family Medicine Medicare: Medicare Enrolled Practice Location: 75 Francis St, Boston, MA 02115 Phone: 617-732-5500
Dr. Amy Min He, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 637 Washington St, Boston, MA 02124 Phone: 617-825-9660

Ethan S Brackett, MD - Medicare Family Practice in Boston, MA