Glen J Sickorez, MD in Dorchester Center, MA - Medicare Emergency Medicine

Glen J Sickorez, MD is a medicare enrolled "Emergency Medicine" physician in Dorchester Center, Massachusetts. His current practice location is 2100 Dorchester Ave, Dorchester Center, Massachusetts. You can reach out to his office (for appointments etc.) via phone at (617) 296-4000.

Glen J Sickorez is licensed to practice in Massachusetts (license number 56395) 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 1861445736.

Contact Information

	Glen J Sickorez, MD
	2100 Dorchester Ave, Dorchester Center, MA 02124-5615
	(617) 296-4000
	Not Available

Map and Direction

Physician's Profile

Full Name	Glen J Sickorez
Gender	Male
Speciality	Emergency Medicine
Location	2100 Dorchester Ave, Dorchester Center, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1861445736
Provider Enumeration Date: 05/19/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 2769429653
Enrollment ID: I20050412001171

Medical Identifiers

Medical identifiers for Glen J Sickorez such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1861445736	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	56395 (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. Glen J Sickorez allows following entities to bill medicare on his behalf.

Entity Name	Nantucket Cottage Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447214622 PECOS PAC ID: 1759357601 Enrollment ID: O20050104000928

Entity Name	Mass General Brigham Urgent Care Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1720486830 PECOS PAC ID: 9436470119 Enrollment ID: O20150605002309

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. Glen J Sickorez 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
Glen J Sickorez, MD 20 Forest Hills St., #2, Jamaica Plain, MA 02130 Ph: () -	Glen J Sickorez, MD 2100 Dorchester Ave, Dorchester Center, MA 02124-5615 Ph: (617) 296-4000

Reviews and Comments

Emergency Medicine Doctors in Dorchester Center, MA

Donna L Springs, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2100 Dorchester Ave, Dorchester Center, MA 02124 Phone: 617-296-4000 Fax: 617-296-9618
Jennifer N. Skolnick, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2100 Dorchester Ave, Cantas Carney Hospital, Dorchester Center, MA 02124 Phone: 617-296-4000
David P. John, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2100 Dorchester Ave, Dorchester Center, MA 02124 Phone: 617-506-4463 Fax: 617-474-3891
Furman M Walls Iii, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2100 Dorchester Ave, Dorchester Center, MA 02124 Phone: 617-296-4000 Fax: 617-296-9618

Glen J Sickorez, MD - Medicare Emergency Medicine in Dorchester Center, MA