Dr Lewis Richard Gergoudis, MD in Jamaica Plain, MA

Dr Lewis Richard Gergoudis, MD is a medicare enrolled "Family Medicine" physician in Jamaica Plain, Massachusetts. He graduated from medical school in 2018 and has 8 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice East Carolina University, Proactive Therapy Of North Carolina Inc and his current practice location is 1153 Centre St, Jamaica Plain, Massachusetts. You can reach out to his office (for appointments etc.) via phone at (617) 983-7300.

Dr Lewis Richard Gergoudis is licensed to practice in Massachusetts (license number 1025841) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1356839518.

Contact Information

	Dr Lewis Richard Gergoudis, MD
	1153 Centre St, Jamaica Plain, MA 02130-3446
	(617) 983-7300
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Lewis Richard Gergoudis
Gender	Male
Speciality	Family Practice
Experience	8 Years
Location	1153 Centre St, Jamaica Plain, Massachusetts
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Lewis Richard Gergoudis graduated from medical school in 2018

NPI Data:

NPI Number: 1356839518
Provider Enumeration Date: 04/24/2018
Last Update Date: 06/24/2026

Medicare PECOS Information:

PECOS PAC ID: 5799032611
Enrollment ID: I20211116001522

Medical Identifiers

Medical identifiers for Dr Lewis Richard Gergoudis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1356839518	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	1025841 (Massachusetts)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Kindred At Home	Greenville, NC	Home health agency
Vidant Medical Center	Greenville, NC	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
East Carolina University	0244143246	497
Proactive Therapy Of North Carolina Inc	6305753120	557

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 Lewis Richard Gergoudis allows following entities to bill medicare on his behalf.

Entity Name	East Carolina University
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1972551919 PECOS PAC ID: 0244143246 Enrollment ID: O20031106000400

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 Lewis Richard Gergoudis 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
Dr Lewis Richard Gergoudis, MD 399 Revolution Dr, Somerville, MA 02145-1484 Ph: () -	Dr Lewis Richard Gergoudis, MD 1153 Centre St, Jamaica Plain, MA 02130-3446 Ph: (617) 983-7300

Reviews and Comments

Family Medicine Doctors in Jamaica Plain, MA

Margaret M Curtin, APRN Family Medicine Medicare: Medicare Enrolled Practice Location: 150 S Huntington Ave, Jamaica Plain, MA 02130 Phone: 774-826-1340
Dr. Daniel F Melville, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 545 A Centre St, Beth Israel Deaconess Health Care - Jamaica Plain, Jamaica Plain, MA 02130 Phone: 617-522-5464 Fax: 617-524-2966
Jose E Ruano, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 373 S Huntington Ave, Ste #2, Jamaica Plain, MA 02130 Phone: 617-522-3330
Vijay R Hegde, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 40 Wyman St, Unit #1, Jamaica Plain, MA 02130 Phone: 410-477-9309
Dr. Laura Reis, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 545a Centre St, Jamaica Plain, MA 02130 Phone: 617-754-0950
Dr. Barsam Kasravi, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 75 Bickford St, Jamaica Plain, MA 02130 Phone: 617-971-2100

Dr Lewis Richard Gergoudis, MD - Medicare Family Practice in Jamaica Plain, MA