Dr Edward-michael Dussom, MD - Medicare Surgery in Brighton, MA

Dr Edward-michael Dussom, MD is a medicare enrolled "Surgery" physician in Brighton, Massachusetts. His current practice location is 736 Cambridge St, Brighton, Massachusetts. You can reach out to his office (for appointments etc.) via phone at (617) 789-2990.

Dr Edward-michael Dussom is licensed to practice in Massachusetts (license number 276408) 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 1053805457.

Contact Information

Dr Edward-michael Dussom, MD
736 Cambridge St,
Brighton, MA 02135-2907
(617) 789-2990
Not Available



Physician's Profile

Full NameDr Edward-michael Dussom
GenderMale
SpecialitySurgery
Location736 Cambridge St, Brighton, Massachusetts
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1053805457
  • Provider Enumeration Date: 06/19/2018
  • Last Update Date: 06/19/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 3274887740
  • Enrollment ID: I20231226000946

Medical Identifiers

Medical identifiers for Dr Edward-michael Dussom such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053805457NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery 276408 (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. Dr Edward-michael Dussom allows following entities to bill medicare on his behalf.
Entity NameSteward Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629398219
PECOS PAC ID: 2860688728
Enrollment ID: O20101119000007

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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. Dr Edward-michael Dussom 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
Dr Edward-michael Dussom, MD
736 Cambridge Street,
Brighton, MA 02135-2907

Ph: (617) 789-2990
Dr Edward-michael Dussom, MD
736 Cambridge St,
Brighton, MA 02135-2907

Ph: (617) 789-2990

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Surgery Doctors in Brighton, MA

Zahra Alhajji,
Surgery
Medicare: Medicare Enrolled
Practice Location: 736 Cambirdge St, Brighton, MA 02135
Phone: 617-789-2990    Fax: 617-789-3419
Oseogie Okojie, MD
Surgery
Medicare: Medicare Enrolled
Practice Location: 736 Cambridge St, Brighton, MA 02135
Phone: 617-789-2777    
Dr. Maria Arshanskiy, MD
Surgery
Medicare: Medicare Enrolled
Practice Location: 736 Cambridge St, Brighton, MA 02135
Phone: 617-789-2990    
Marvin J Lopez, M.D.
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 11 Nevins St, Ste 201, Brighton, MA 02135
Phone: 617-789-2442    Fax: 617-789-4207
Dr. Aaron Richard Dezube, M.D.
Surgery
Medicare: Medicare Enrolled
Practice Location: 736 Cambridge St, Cmp 1, Brighton, MA 02135
Phone: 617-789-2990    
Grace Lassiter, MD
Surgery
Medicare: Medicare Enrolled
Practice Location: 736 Cambridge St, Brighton, MA 02135
Phone: 617-789-2000    

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