Dr Gregory Stephen Suralik, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Cambridge, Massachusetts. His current practice location is
330 Mount Auburn St, Cambridge, Massachusetts. You can reach out to his office (for appointments etc.) via phone at
(617) 492-3500.
Dr Gregory Stephen Suralik is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1366292088.
Physician's Profile
Full Name | Dr Gregory Stephen Suralik |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 330 Mount Auburn St, Cambridge, Massachusetts |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1366292088
- Provider Enumeration Date: 03/25/2024
- Last Update Date: 06/06/2024
Medicare PECOS Information:
- PECOS PAC ID: 7911443478
- Enrollment ID: I20240722001223
Medical Identifiers
Medical identifiers for Dr Gregory Stephen Suralik such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1366292088 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | 3016421 (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. Dr Gregory Stephen Suralik 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 Gregory Stephen Suralik, MD 31 Wareham St Unit 1rear, Medford, MA 02155-6289 Ph: (920) 627-4218 | Dr Gregory Stephen Suralik, MD 330 Mount Auburn St, Cambridge, MA 02138-5597 Ph: (617) 492-3500 |
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