Dr Erik J Garcia, MD - Medicare Internal Medicine in Worcester, MA

Dr Erik J Garcia, MD is a medicare enrolled "Internal Medicine" physician in Worcester, Massachusetts. He went to Hahnemann University College Of Medicine and graduated in 1991 and has 33 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Family Health Center Of Worcester, Inc., Umass Memorial Medical Group Inc and his current practice location is 55 Lake Ave N, Family Medicine, Worcester, Massachusetts. You can reach out to his office (for appointments etc.) via phone at (508) 856-2818.

Dr Erik J Garcia is licensed to practice in Massachusetts (license number 79768) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1144203902.

Contact Information

Dr Erik J Garcia, MD
55 Lake Ave N, Family Medicine,
Worcester, MA 01655-0002
(508) 856-2818
Not Available

Map and Direction




Physician's Profile

Full NameDr Erik J Garcia
GenderMale
SpecialityInternal Medicine
Experience33 Years
Location55 Lake Ave N, Worcester, Massachusetts
Accepts Medicare AssignmentsMay be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Erik J Garcia attended and graduated from Hahnemann University College Of Medicine in 1991
  NPI Data:
  • NPI Number: 1144203902
  • Provider Enumeration Date: 11/25/2005
  • Last Update Date: 10/30/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 6608819115
  • Enrollment ID: I20050606001042

Medical Identifiers

Medical identifiers for Dr Erik J Garcia such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1144203902NPI-NPPES
M21400OtherMAMEDICARE
3132005MedicaidMA
M17925OtherBLUE CROSS OF MASS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 79768 (Massachusetts)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Umass Memorial Medical Center/university CampusWorcester, MAHospital
Baystate Medical CenterSpringfield, MAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Family Health Center Of Worcester, Inc.478967098568
Umass Memorial Medical Group Inc42845398911889

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 Erik J Garcia allows following entities to bill medicare on his behalf.
Entity NameUmass Memorial Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760445373
PECOS PAC ID: 4284539891
Enrollment ID: O20040113000267
Entity NameFamily Health Center Of Worcester, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1841200664
PECOS PAC ID: 4789670985
Enrollment ID: O20040422001380

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 Erik J Garcia 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 Erik J Garcia, MD
Po Box 415348,
Boston, MA 02241-5348

Ph: () -
Dr Erik J Garcia, MD
55 Lake Ave N, Family Medicine,
Worcester, MA 01655-0002

Ph: (508) 856-2818

Reviews and Comments


Internal Medicine Doctors in Worcester, MA

Dr. Adepeju Gbadebo Champion, M.D.
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 55 Lake Ave N, Worcester, MA 01655
Phone: 508-334-2731    Fax: 774-442-4672
Madaiah Lokeshwari, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 123 Summer St, Worcester, MA 01608
Phone: 508-363-6849    
Sowmya Korapati,
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 55 Lake Ave N, Worcester, MA 01655
Phone: 508-334-3550    Fax: 774-442-6715
Irma Hashmi, DO
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 55 Lake Ave N, Worcester, MA 01655
Phone: 508-334-1000    
Dr. Madhav Sharma, MD
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 123 Summer St, Worcester, MA 01608
Phone: 508-363-5438    
Daniel M Steigman, MD
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 123 Summer Street, Suite 390, Worcester, MA 01608
Phone: 508-368-3120    Fax: 508-368-3121
Dr. Julia D Andrieni, M.D.
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 55 Lake Ave N, Department Of General Medicine, Worcester, MA 01655
Phone: 508-334-2731    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.