Dr Jonathan Philip Winickoff, MD MPH - Medicare Pediatrics in Waltham, MA

Dr Jonathan Philip Winickoff, MD MPH is a medicare enrolled "Pediatrics" physician in Waltham, Massachusetts. His current practice location is 40 2nd Ave, Ste 400 Mass General West Medical Group Waltham, Waltham, Massachusetts. You can reach out to his office (for appointments etc.) via phone at (781) 522-9000.

Dr Jonathan Philip Winickoff is licensed to practice in Massachusetts (license number 205857) 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 1720049760.

Contact Information

Dr Jonathan Philip Winickoff, MD MPH
40 2nd Ave, Ste 400 Mass General West Medical Group Waltham,
Waltham, MA 02451
(781) 522-9000
(781) 522-9095



Physician's Profile

Full NameDr Jonathan Philip Winickoff
GenderMale
SpecialityPediatrics
Location40 2nd Ave, Waltham, Massachusetts
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1720049760
  • Provider Enumeration Date: 03/29/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 8022203850
  • Enrollment ID: I20101105001158

Medical Identifiers

Medical identifiers for Dr Jonathan Philip Winickoff such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1720049760NPI-NPPES
J22483OtherMABCBS MA
0100650MedicaidMA
205857OtherMATUFTS HEALTH PLAN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 205857 (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 Jonathan Philip Winickoff allows following entities to bill medicare on his behalf.
Entity NameMassachusetts General Physicians Organization Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801874573
PECOS PAC ID: 2466365820
Enrollment ID: O20031111000434

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Entity NameThe General Hospital Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023049236
PECOS PAC ID: 6507803806
Enrollment ID: O20080313000351

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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 Jonathan Philip Winickoff 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 Jonathan Philip Winickoff, MD MPH
Po Box 9142, Mass General Physician Organization,
Charlestown, MA 02129-9142

Ph: (617) 724-0287
Dr Jonathan Philip Winickoff, MD MPH
40 2nd Ave, Ste 400 Mass General West Medical Group Waltham,
Waltham, MA 02451

Ph: (781) 522-9000

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Pediatrics Doctors in Waltham, MA

Dr. Robert D Fusunyan, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 40 2nd Avenue, Suite 340, Waltham, MA 02451
Phone: 781-466-8967    Fax: 781-466-8987
Dr. Beth Ann Mccabe, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 40 2nd Ave, Suite 400, Waltham, MA 02451
Phone: 781-522-9000    Fax: 617-735-9098
Cynthia Sacco, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 245 Winter St, Waltham, MA 02451
Phone: 781-419-2709    
Myron B Peterson, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: Cato Ltd., 1100 Winter Street, Waltham, MA 02451
Phone: 617-484-2297    
Dr. Peter Tebet Greenspan, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 40 2nd Ave, Mass General West Medical Group Ste 400, Waltham, MA 02451
Phone: 781-487-4340    Fax: 781-487-4341
Dr. Sarah Pritchett Zimmerman, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 40 2nd Ave Ste 400, Waltham, MA 02451
Phone: 781-487-4340    
James I Goldston, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 42 Weston St Ste 2a, Waltham, MA 02453
Phone: 781-747-8480    Fax: 949-577-4121

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