Mark William Kieran, MD PHD - Medicare Pediatrics in Boston, MA

Mark William Kieran, MD PHD is a medicare enrolled "Pediatrics - Pediatric Hematology-oncology" physician in Boston, Massachusetts. His current practice location is 44 Binney St, Room Sw331, Boston, Massachusetts. You can reach out to his office (for appointments etc.) via phone at (617) 632-4907.

Mark William Kieran is licensed to practice in Massachusetts (license number 76146) 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 1790747236.

Contact Information

Mark William Kieran, MD PHD
44 Binney St, Room Sw331,
Boston, MA 02115-6013
(617) 632-4907
(617) 632-4897

Map and Direction




Physician's Profile

Full NameMark William Kieran
GenderMale
SpecialityPediatrics - Pediatric Hematology-oncology
Location44 Binney St, Boston, Massachusetts
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1790747236
  • Provider Enumeration Date: 04/03/2006
  • Last Update Date: 08/14/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 9931147774
  • Enrollment ID: I20050421000636

Medical Identifiers

Medical identifiers for Mark William Kieran such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1790747236NPI-NPPES
8545845OtherCIGNA
076146OtherTUFTS
2929111OtherAETNA US HEALTHCARE
F33356DFOtherHPHC DFCI ONLY
23303OtherFALLON COMMUNITY HEALTH
000000026066OtherBMC HEALTHNET
3138950OtherMASSHEALTH
7505047OtherUNITED HEALTH CARE
370013224OtherRR MEDICARE BINNEY MED
J31260OtherMA BCBS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2080P0207XPediatrics - Pediatric Hematology-oncology 76146 (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. Mark William Kieran allows following entities to bill medicare on his behalf.
Entity NameDana-farber Cancer Institute, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1851333686
PECOS PAC ID: 9133038904
Enrollment ID: O20040223000228

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. Mark William Kieran 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
Mark William Kieran, MD PHD
44 Binney St, Room Sw331,
Boston, MA 02115-6013

Ph: (617) 632-4907
Mark William Kieran, MD PHD
44 Binney St, Room Sw331,
Boston, MA 02115-6013

Ph: (617) 632-4907

Reviews and Comments


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