Johann Nikolas Patlak, - Medicare Anesthesiology in Boston, MA

Johann Nikolas Patlak, is a medicare enrolled "Anesthesiology" physician in Boston, Massachusetts. He went to University Of Vermont College Of Medicine and graduated in 2012 and has 12 years of diverse experience with area of expertise as Anesthesiology. He is a member of the group practice Lifespan Physician Group Inc, The Miriam Hospital and his current practice location is 330 Brookline Ave, Boston, Massachusetts. You can reach out to his office (for appointments etc.) via phone at (617) 667-3112.

Johann Nikolas Patlak is licensed to practice in Rhode Island (license number MD16257) 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 1871868075.

Contact Information

Johann Nikolas Patlak,
330 Brookline Ave,
Boston, MA 02215-5400
(617) 667-3112
Not Available

Map and Direction




Physician's Profile

Full NameJohann Nikolas Patlak
GenderMale
SpecialityAnesthesiology
Experience12 Years
Location330 Brookline Ave, Boston, Massachusetts
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Johann Nikolas Patlak attended and graduated from University Of Vermont College Of Medicine in 2012
  NPI Data:
  • NPI Number: 1871868075
  • Provider Enumeration Date: 03/20/2012
  • Last Update Date: 02/20/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 1052697000
  • Enrollment ID: I20180912002545

Medical Identifiers

Medical identifiers for Johann Nikolas Patlak such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1871868075NPI-NPPES
110121258AMedicaidMA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207L00000XAnesthesiology 269792 (Massachusetts)Secondary
207LC0200XAnesthesiology - Critical Care Medicine 269792 (Massachusetts)Secondary
207LC0200XAnesthesiology - Critical Care Medicine MD16257 (Rhode Island)Secondary
207L00000XAnesthesiology MD16257 (Rhode Island)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Home & Hospice Care Of Rhode IslandProvidence, RIHospice
The Miriam HospitalProvidence, RIHospital
Rhode Island HospitalProvidence, RIHospital
Newport HospitalNewport, RIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Lifespan Physician Group Inc2567455082634
The Miriam Hospital6901796408184

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. Johann Nikolas Patlak allows following entities to bill medicare on his behalf.
Entity NameThe Miriam Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770520462
PECOS PAC ID: 6901796408
Enrollment ID: O20040624000947
Entity NameAffinity Physicians Llc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184944662
PECOS PAC ID: 0244413391
Enrollment ID: O20110326000053
Entity NameLifespan Physician Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407116643
PECOS PAC ID: 2567455082
Enrollment ID: O20121029000368
Entity NameLifespan Physician Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053782466
PECOS PAC ID: 2567455082
Enrollment ID: O20160121000235

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. Johann Nikolas Patlak 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 AddressPractice Location Address
Johann Nikolas Patlak,
330 Brookline Ave,
Boston, MA 02215-5400

Ph: (617) 667-3364
Johann Nikolas Patlak,
330 Brookline Ave,
Boston, MA 02215-5400

Ph: (617) 667-3112

Reviews and Comments


Anesthesiology Doctors in Boston, MA

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Phone: 617-732-5500    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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