Dr Kimberly Russo Dittler, MD - Medicare Emergency Medicine in Boston, MA

Dr Kimberly Russo Dittler, MD is a medicare enrolled "Emergency Medicine" physician in Boston, Massachusetts. She went to University Of Illinois College Of Med (chi/peor/rock/chm-urb) and graduated in 2002 and has 22 years of diverse experience with area of expertise as Emergency Medicine. She is a member of the group practice Brigham And Women's Physicians Organization Inc and her current practice location is 1153 Centre St, Boston, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (617) 983-7700.

Dr Kimberly Russo Dittler is licensed to practice in Massachusetts (license number 236721) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1033136650.

Contact Information

Dr Kimberly Russo Dittler, MD
1153 Centre St,
Boston, MA 02130-3446
(617) 983-7700
(617) 983-7724



Physician's Profile

Full NameDr Kimberly Russo Dittler
GenderFemale
SpecialityEmergency Medicine
Experience22 Years
Location1153 Centre St, Boston, Massachusetts
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Kimberly Russo Dittler attended and graduated from University Of Illinois College Of Med (chi/peor/rock/chm-urb) in 2002
  NPI Data:
  • NPI Number: 1033136650
  • Provider Enumeration Date: 07/17/2006
  • Last Update Date: 03/29/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 4284665159
  • Enrollment ID: I20081025000073

Medical Identifiers

Medical identifiers for Dr Kimberly Russo Dittler such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033136650NPI-NPPES
036113760MedicaidIL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 054658 (Georgia)Secondary
207P00000XEmergency Medicine 036-113760 (Illinois)Secondary
207P00000XEmergency Medicine 236721 (Massachusetts)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Faulkner Hospital-brigham And Women'sBoston, MAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Brigham And Women's Physicians Organization Inc38704059882510

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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 Kimberly Russo Dittler allows following entities to bill medicare on her behalf.
Entity NameBrigham And Women's Physicians Organization Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033535497
PECOS PAC ID: 3870405988
Enrollment ID: O20150107001260

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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 Kimberly Russo Dittler 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 Kimberly Russo Dittler, MD
1153 Centre St,
Boston, MA 02130-3446

Ph: (617) 983-7700
Dr Kimberly Russo Dittler, MD
1153 Centre St,
Boston, MA 02130-3446

Ph: (617) 983-7700

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Emergency Medicine Doctors in Boston, MA

Yeu-shin Cindy Chang, M.D., M.P.H.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 75 Francis St, Bwh Dept. Of Emergency Medicine, Boston, MA 02115
Phone: 617-732-8070    
Lorenzo Albala, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 55 Fruit St, Boston, MA 02114
Phone: 617-724-4068    
Dr. Jacob Ari Hurwitz, MD MPH
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 55 Fruit St, Boston, MA 02114
Phone: 617-724-4068    
Christopher Lites, MD
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 330 Brookline Ave, Boston, MA 02215
Phone: 617-667-7000    
Aneesh T Narang, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 1 Boston Medical Ctr Pl, Dowling 1 South, Boston, MA 02118
Phone: 617-414-5481    Fax: 617-414-7759
Dr. Justin Thomas Pitman, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 75 Francis St, Neville House - 236a, Boston, MA 02115
Phone: 617-732-8070    
Dr. Nadine Youssef, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 750 Washington St, Box 311 / Department Of Emergency Medicine, Boston, MA 02111
Phone: 617-636-4723    

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