James G Petros, MD is a medicare enrolled "Colon & Rectal Surgery" physician in Boston, Massachusetts. His current practice location is
830 Harrison Avenue, Moakley Suite 2100, Boston, Massachusetts. You can reach out to his office (for appointments etc.) via phone at
(617) 414-8054.
James G Petros is licensed to practice in Massachusetts (license number 48543) 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 1457313009.
Physician's Profile
Full Name | James G Petros |
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Gender | Male |
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Speciality | Colon & Rectal Surgery |
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Location | 830 Harrison Avenue, Boston, 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: 1457313009
- Provider Enumeration Date: 04/06/2006
- Last Update Date: 02/29/2016
Medicare PECOS Information:
- PECOS PAC ID: 7810942562
- Enrollment ID: I20160407000543
Medical Identifiers
Medical identifiers for James G Petros such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1457313009 | NPI | - | NPPES |
110053342A | Medicaid | MA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208600000X | Surgery | 48543 (Massachusetts) | Secondary |
208C00000X | Colon & Rectal Surgery | 48543 (Massachusetts) | Primary |
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. James G Petros 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 |
James G Petros, MD 170 Morton St, Dob 503, Jamaica Plain, MA 02130-3735 Ph: (617) 971-3568 | James G Petros, MD 830 Harrison Avenue, Moakley Suite 2100, Boston, MA 02118 Ph: (617) 414-8054 |
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