Dr Tara Rose Hogan, MD - Medicare Student in an Organized Health Care Education/Training Program in Boston, MA

Dr Tara Rose Hogan, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Boston, Massachusetts. Her current practice location is 330 Brookline Ave, Boston, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (617) 632-9236.

Dr Tara Rose Hogan is licensed to practice in Massachusetts (license number 280377) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1215597810.

Contact Information

Dr Tara Rose Hogan, MD
330 Brookline Ave,
Boston, MA 02215-5491
(617) 632-9236
Not Available



Physician's Profile

Full NameDr Tara Rose Hogan
GenderFemale
SpecialityStudent In An Organized Health Care Education/training Program
Location330 Brookline Ave, Boston, Massachusetts
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1215597810
  • Provider Enumeration Date: 06/17/2019
  • Last Update Date: 06/23/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 9133454572
  • Enrollment ID: I20190708002428

Medical Identifiers

Medical identifiers for Dr Tara Rose Hogan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1215597810NPI-NPPES
280377OtherMAMASSACHUSETTS STATE MEDICAL LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery 280377 (Massachusetts)Secondary
390200000XStudent In An Organized Health Care Education/training Program 280377 (Massachusetts)Primary

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 Tara Rose Hogan 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 Tara Rose Hogan, MD
330 Brookline Ave,
Boston, MA 02215-5400

Ph: (617) 667-7000
Dr Tara Rose Hogan, MD
330 Brookline Ave,
Boston, MA 02215-5491

Ph: (617) 632-9236

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