Kai Mithoefer, MD is a medicare enrolled "Orthopaedic Surgery - Sports Medicine" physician in Ded Ham, Massachusetts. He graduated from medical school in 1991 and has 33 years of diverse experience with area of expertise as Orthopedic Surgery. He is a member of the group practice Boston Sports And Shoulder Center, Llc and his current practice location is
40 Allied Drive, Ded Ham, Massachusetts. You can reach out to his office (for appointments etc.) via phone at
(617) 264-1100.
Kai Mithoefer is licensed to practice in Massachusetts (license number 212397) 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 1275504219.
Physician's Profile
Full Name | Kai Mithoefer |
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Gender | Male |
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Speciality | Orthopedic Surgery |
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Experience | 33 Years |
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Location | 40 Allied Drive, Ded Ham, Massachusetts |
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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:
- Kai Mithoefer graduated from medical school in 1991
NPI Data:
- NPI Number: 1275504219
- Provider Enumeration Date: 01/29/2006
- Last Update Date: 12/28/2023
Medicare PECOS Information:
- PECOS PAC ID: 7810923182
- Enrollment ID: I20050711000051
Medical Identifiers
Medical identifiers for Kai Mithoefer such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1275504219 | NPI | - | NPPES |
0198510 | Medicaid | MA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207X00000X | Orthopaedic Surgery | 212397 (Massachusetts) | Secondary |
207X00000X | Orthopaedic Surgery | 228933-1 (New York) | Secondary |
207XX0005X | Orthopaedic Surgery - Sports Medicine | 212397 (Massachusetts) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Boston Sports And Shoulder Center, Llc | 4587671110 | 37 |
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. Kai Mithoefer allows following entities to bill medicare on his behalf.
Entity Name | Boston Sports & Shoulder Center, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1437184165 PECOS PAC ID: 4587671110 Enrollment ID: O20060307000610 |
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Entity Name | Northeast Orthopaedic Alliance Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1417724170 PECOS PAC ID: 5991149809 Enrollment ID: O20240220000683 |
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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. Kai Mithoefer 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 |
Kai Mithoefer, MD 40 Allied Drive, Dedham, MA 02026 Ph: (617) 264-1100 | Kai Mithoefer, MD 40 Allied Drive, Ded Ham, MA 02026 Ph: (617) 264-1100 |
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