Gregory Avetisov, DO - Medicare General Practice in Lincoln, CA

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Gregory Avetisov, DO is a medicare enrolled "General Practice" physician in Lincoln, California. He went to New York College Of Osteo Medicine Of New York Institute Of Technology and graduated in 2017 and has 9 years of diverse experience with area of expertise as General Practice. He is a member of the group practice Lake County Tribal Health Consortium Inc and his current practice location is 2641 Miller Run Ln, Lincoln, California. You can reach out to his office (for appointments etc.) via phone at (209) 754-6262.

Gregory Avetisov is licensed to practice in California (license number 20A22510) 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 1679917280.

Contact Information

Gregory Avetisov, DO
2641 Miller Run Ln,
Lincoln, CA 95648-7545
(209) 754-6262
Not Available

Map and Direction




Physician's Profile

Full NameGregory Avetisov
GenderMale
SpecialityGeneral Practice
Experience9 Years
Location2641 Miller Run Ln, Lincoln, California
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:
  • Gregory Avetisov attended and graduated from New York College Of Osteo Medicine Of New York Institute Of Technology in 2017
  NPI Data:
  • NPI Number: 1679917280
  • Provider Enumeration Date: 04/25/2013
  • Last Update Date: 01/28/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 9335470400
  • Enrollment ID: I20240716004349

Medical Identifiers

Medical identifiers for Gregory Avetisov such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1679917280NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208D00000XGeneral Practice 20A22510 (California)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Sutter Lakeside HospitalLakeport, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Lake County Tribal Health Consortium Inc872997554537

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. Gregory Avetisov allows following entities to bill medicare on his behalf.
Entity NameLake County Tribal Health Consortium Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881697381
PECOS PAC ID: 8729975545
Enrollment ID: O20040304000323

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. Gregory Avetisov 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
Gregory Avetisov, DO
Po Box 939,
Angels Camp, CA 95222-0939

Ph: () -		Gregory Avetisov, DO
2641 Miller Run Ln,
Lincoln, CA 95648-7545

Ph: (209) 754-6262

Reviews and Comments


General Practice Doctors in Lincoln, CA


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.