Zachary Luke Tataryn, MD is a medicare enrolled "Neurological Surgery" physician in Brighton, Massachusetts. His current practice location is
736 Cambridge Street, Ccp-8, Brighton, Massachusetts. You can reach out to his office (for appointments etc.) via phone at
(917) 881-6402.
Zachary Luke Tataryn is licensed to practice in Massachusetts (license number 295007) 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 1518251834.
Physician's Profile
Full Name | Zachary Luke Tataryn |
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Gender | Male |
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Speciality | Neurological Surgery |
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Location | 736 Cambridge Street, Brighton, 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: 1518251834
- Provider Enumeration Date: 06/03/2011
- Last Update Date: 11/02/2022
Medicare PECOS Information:
- PECOS PAC ID: 5193015493
- Enrollment ID: I20210518001128
Medical Identifiers
Medical identifiers for Zachary Luke Tataryn such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1518251834 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207T00000X | Neurological Surgery | MD61125187 (Washington) | Secondary |
207T00000X | Neurological Surgery | 295007 (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. Zachary Luke Tataryn allows following entities to bill medicare on his behalf.
Entity Name | Swedish Health Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1689612954 PECOS PAC ID: 0244138196 Enrollment ID: O20031230000187 |
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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. Zachary Luke Tataryn 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 |
Zachary Luke Tataryn, MD Po Box 25608, Ccp-8, Brighton, MA 02135 Ph: (206) 320-4476 | Zachary Luke Tataryn, MD 736 Cambridge Street, Ccp-8, Brighton, MA 02135 Ph: (917) 881-6402 |
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