Edwin Ishoo, MD - Medicare Otolaryngology in Brookline, MA

Edwin Ishoo, MD is a medicare enrolled "Otolaryngology - Plastic Surgery Within The Head & Neck" physician in Brookline, Massachusetts. His current practice location is One Brookline Place, Suite 321, Brookline, Massachusetts. You can reach out to his office (for appointments etc.) via phone at (781) 552-6089.

Edwin Ishoo is licensed to practice in Massachusetts (license number 154977) 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 1760497226.

Contact Information

Edwin Ishoo, MD
One Brookline Place, Suite 321,
Brookline, MA 02445
(781) 552-6089
Not Available



Physician's Profile

Full NameEdwin Ishoo
GenderMale
SpecialityOtolaryngology - Plastic Surgery Within The Head & Neck
LocationOne Brookline Place, Brookline, Massachusetts
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1760497226
  • Provider Enumeration Date: 07/30/2006
  • Last Update Date: 09/23/2009
  Medicare PECOS Information:
  • PECOS PAC ID: 2062452352
  • Enrollment ID: I20081018000077

Medical Identifiers

Medical identifiers for Edwin Ishoo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1760497226NPI-NPPES
2161133MedicaidMA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Y00000XOtolaryngology 2005-0084 (New Mexico)Secondary
207Y00000XOtolaryngology 154977 (Massachusetts)Secondary
207YS0123XOtolaryngology - Facial Plastic Surgery 154977 (Massachusetts)Secondary
207YX0007XOtolaryngology - Plastic Surgery Within The Head & Neck 154977 (Massachusetts)Primary
207YX0602XOtolaryngology - Otolaryngic Allergy MD2005-0084 (New Mexico)Secondary
208200000XPlastic Surgery 154977 (Massachusetts)Secondary

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. Edwin Ishoo allows following entities to bill medicare on his behalf.
Entity NameCarewell Urgent Care Centers Of Ma, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740543214
PECOS PAC ID: 7618124470
Enrollment ID: O20120829000745

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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. Edwin Ishoo 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
Edwin Ishoo, MD
100 Trapelo Rd, Apt 1,
Waltham, MA 02452-6329

Ph: (781) 552-6089
Edwin Ishoo, MD
One Brookline Place, Suite 321,
Brookline, MA 02445

Ph: (781) 552-6089

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Otolaryngology Doctors in Brookline, MA

Dr. Laura Ann Goguen, M.D.
Otolaryngology
Medicare: Accepting Medicare Assignments
Practice Location: 111 Cypress St, Brookline, MA 02445
Phone: 857-307-0896    Fax: 617-525-6511
Dr. Bruce H Suzuki, M.D.
Otolaryngology
Medicare: Not Enrolled in Medicare
Practice Location: 1 Brookline Pl, Suite 401, Brookline, MA 02445
Phone: 617-735-8855    Fax: 617-735-8864
Douglas W Bell, M.D.
Otolaryngology
Medicare: Not Enrolled in Medicare
Practice Location: 1 Brookline Pl, # S-401, Brookline, MA 02445
Phone: 617-735-8855    

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