npidexNPI registry + Medicare data

JAIMIE DEROSA, M.D.

Facial Plastic Surgery Physician · BOSTON, MA

Individual Active Opted out of Medicare NPI 1023057031

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Facial Plastic Surgery Physician207YS0123X✓237016MA
Otolaryngology Physician207Y00000X237016MA

Medicare eligibility

Part B
Yes
DME
Yes
Home health
Yes
Power mobility
Yes
Hospice
Yes

Opted out of Medicare (Otolaryngology), effective 2017-01-01 through 2027-01-01.

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.