Dr Kevin Raymond Gendreau, MD - Medicare Family Practice in Brockton, MA

Dr Kevin Raymond Gendreau, MD is a medicare enrolled "Family Medicine - Obesity Medicine" physician in Brockton, Massachusetts. He went to Temple University School Of Medicine and graduated in 2014 and has 10 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Signature Healthcare Medical Group Inc and his current practice location is 110 Liberty St, Brockton, Massachusetts. You can reach out to his office (for appointments etc.) via phone at (508) 894-0400.

Dr Kevin Raymond Gendreau is licensed to practice in Massachusetts (license number 270162) 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 1023422607.

Contact Information

Dr Kevin Raymond Gendreau, MD
110 Liberty St,
Brockton, MA 02301-5674
(508) 894-0400
(508) 565-0097

Map and Direction




Physician's Profile

Full NameDr Kevin Raymond Gendreau
GenderMale
SpecialityFamily Practice
Experience10 Years
Location110 Liberty St, Brockton, Massachusetts
Accepts Medicare AssignmentsYes. 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 Kevin Raymond Gendreau attended and graduated from Temple University School Of Medicine in 2014
  NPI Data:
  • NPI Number: 1023422607
  • Provider Enumeration Date: 06/11/2014
  • Last Update Date: 03/10/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 4082903182
  • Enrollment ID: I20170809000382

Medical Identifiers

Medical identifiers for Dr Kevin Raymond Gendreau such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023422607NPI-NPPES
110118525AMedicaidMA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine MD17833 (Rhode Island)Secondary
207Q00000XFamily Medicine 270162 (Massachusetts)Secondary
207QB0002XFamily Medicine - Obesity Medicine 270162 (Massachusetts)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Signature Healthcare Brockton HospitalBrockton, MAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Signature Healthcare Medical Group Inc7719876267178

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 Kevin Raymond Gendreau allows following entities to bill medicare on his behalf.
Entity NameSignature Healthcare Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508804949
PECOS PAC ID: 7719876267
Enrollment ID: O20040312000372
Entity NameSouthcoast Physicians Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1336137629
PECOS PAC ID: 0749171957
Enrollment ID: O20040920000138

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 Kevin Raymond Gendreau 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 Kevin Raymond Gendreau, MD
110 Liberty St Ste 180,
Brockton, MA 02301-5674

Ph: (508) 894-0766
Dr Kevin Raymond Gendreau, MD
110 Liberty St,
Brockton, MA 02301-5674

Ph: (508) 894-0400

Reviews and Comments


Family Medicine Doctors in Brockton, MA

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Sasikala Sannapareddy, M.D.
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Phone: 508-559-6699    Fax: 508-583-4649

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.