Nisha Thakrar, MD is a medicare enrolled "Pediatrics" physician in South Boston, Massachusetts. Her current practice location is
409 W Broadway, South Boston, Massachusetts. You can reach out to her office (for appointments etc.) via phone at
(617) 269-7500.
Nisha Thakrar is licensed to practice in Massachusetts (license number 218960) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1831163443.
Physician's Profile
Full Name | Nisha Thakrar |
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Gender | Female |
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Speciality | Pediatrics |
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Location | 409 W Broadway, South 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: 1831163443
- Provider Enumeration Date: 02/13/2006
- Last Update Date: 11/01/2011
Medicare PECOS Information:
- PECOS PAC ID: 6406837277
- Enrollment ID: I20040527000251
Medical Identifiers
Medical identifiers for Nisha Thakrar such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1831163443 | NPI | - | NPPES |
0032345 | Other | MA | NEIGHBORHOOD HEALTH PLAN |
000000027659 | Other | MA | BMC HEALTHNET |
325375 | Other | MA | TUFTS HEALTH PLAN |
J27243 | Other | MA | BLUE CROSS |
AA9809 | Other | MD | HARVARD PILGRIM |
6915000 | Other | MA | CIGNA |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | 218960 (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. Nisha Thakrar allows following entities to bill medicare on her behalf.
Entity Name | South Boston Community Health Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1669447413 PECOS PAC ID: 2062487291 Enrollment ID: O20040831000673 |
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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. Nisha Thakrar 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 |
Nisha Thakrar, MD 409 W Broadway, South Boston, MA 02127-2245 Ph: (617) 269-7500 | Nisha Thakrar, MD 409 W Broadway, South Boston, MA 02127-2245 Ph: (617) 269-7500 |
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