Dr Jacob Gregory Ludington, MD, PHD is a
Student In An Organized Health Care Education/training Program physician based in Boston, Massachusetts. Dr Jacob Gregory Ludington is licensed to practice in * (Not Available) (license number ) and his current practice location is 800 Washington St, Boston, Massachusetts. He can be reached at his office (for appointments etc.) via phone at
(617) 636-2567.
NPI number for Dr Jacob Gregory Ludington is 1134613383 and his current mailing address is 800 Washington St # 115, Boston, Massachusetts. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1134613383.
Physician's Profile
| Full Name | Dr Jacob Gregory Ludington |
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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 | 800 Washington St, Boston, Massachusetts |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1134613383
- Provider Enumeration Date: 06/20/2018
- Last Update Date: 05/06/2021
Medical Identifiers
Medical identifiers for Dr Jacob Gregory Ludington such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1134613383 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207L00000X | Anesthesiology | 2018018657 (Missouri) | 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 Jacob Gregory Ludington is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Jacob Gregory Ludington, MD, PHD
800 Washington St # 115,
Boston, MA 02111-1552
Ph: () - | Dr Jacob Gregory Ludington, MD, PHD
800 Washington St,
Boston, MA 02111-1552
Ph: (617) 636-2567 |
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