Jasmine Outlaw, MD in Boston, MA - Medicare Student in an Organized Health Care Education/Training Program

Jasmine Outlaw, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Boston, Massachusetts. Her current practice location is 55 Fruit St, Boston, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (617) 726-2000.

Jasmine Outlaw is licensed to practice in * (Not Available) (license number ) 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 1235711219.

Contact Information

	Jasmine Outlaw, MD
	55 Fruit St, Boston, MA 02114-2621
	(617) 726-2000
	Not Available

Physician's Profile

Full Name	Jasmine Outlaw
Gender	Female
Speciality	Student In An Organized Health Care Education/training Program
Location	55 Fruit St, Boston, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1235711219
Provider Enumeration Date: 04/28/2021
Last Update Date: 01/17/2024

Medicare PECOS Information:

PECOS PAC ID: 6901208941
Enrollment ID: I20210713001791

Medical Identifiers

Medical identifiers for Jasmine Outlaw such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1235711219	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208D00000X	General Practice	1016262 (Massachusetts)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	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. Jasmine Outlaw 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 Address	Practice Location Address
Jasmine Outlaw, MD 2 Bowdoin St Apt 518, Everett, MA 02149-2459 Ph: (215) 520-0015	Jasmine Outlaw, MD 55 Fruit St, Boston, MA 02114-2621 Ph: (617) 726-2000

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Jasmine Outlaw, MD - Medicare Student in an Organized Health Care Education/Training Program in Boston, MA