Dr John Robert West Jr, MD - Medicare Dermatology in Mystic, CT

Dr John Robert West Jr, MD is a medicare enrolled "Dermatology - Mohs-micrographic Surgery" physician in Mystic, Connecticut. He went to University Of California, San Diego School Of Medicine and graduated in 1986 and has 38 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice John R. West Md Inc and his current practice location is 34 Water Street, Suite 2, Mystic, Connecticut. You can reach out to his office (for appointments etc.) via phone at (860) 572-9994.

Dr John Robert West Jr is licensed to practice in Connecticut (license number 44204) 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 1487606117.

Contact Information

Dr John Robert West Jr, MD
34 Water Street, Suite 2,
Mystic, CT 06355
(860) 572-9994
(860) 572-9930



Physician's Profile

Full NameDr John Robert West Jr
GenderMale
SpecialityDermatology
Experience38 Years
Location34 Water Street, Mystic, Connecticut
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr John Robert West Jr attended and graduated from University Of California, San Diego School Of Medicine in 1986
  NPI Data:
  • NPI Number: 1487606117
  • Provider Enumeration Date: 05/17/2006
  • Last Update Date: 10/28/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 3375547763
  • Enrollment ID: I20060825000324

Medical Identifiers

Medical identifiers for Dr John Robert West Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1487606117NPI-NPPES
010044204CT01OtherCTBLUE CROSS BLUE SHIELD

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207ND0101XDermatology - Mohs-micrographic Surgery G61079 (California)Secondary
207ND0101XDermatology - Mohs-micrographic Surgery 44204 (Connecticut)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Lawrence & Memorial HospitalNew london, CTHospital
Westerly HospitalWesterly, RIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
John R. West Md Inc50927194843

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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 John Robert West Jr allows following entities to bill medicare on his behalf.
Entity NameJohn R. West Md Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376575324
PECOS PAC ID: 5092719484
Enrollment ID: O20060825000337

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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 John Robert West Jr 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 John Robert West Jr, MD
34 Water Street, Suite 2,
Mystic, CT 06355

Ph: (860) 572-9994
Dr John Robert West Jr, MD
34 Water Street, Suite 2,
Mystic, CT 06355

Ph: (860) 572-9994

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Dermatology Doctors in Mystic, CT

Dr. Daniella Duke, M.D.
Dermatology
Medicare: Not Enrolled in Medicare
Practice Location: 55 Willow St, Mystic, CT 06355
Phone: 860-245-0000    Fax: 860-245-0610
Annette Lupinacci Headley, M.D.
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 56 Whitehall Avenue, Mystic, CT 06355
Phone: 860-536-1354    Fax: 860-536-7043

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