Edward I Ginns, MD PHD - Medicare Psychiatry & Neurology in Worcester, MA

Edward I Ginns, MD PHD is a medicare enrolled "Psychiatry & Neurology - Neurology" physician in Worcester, Massachusetts. His current practice location is 55 Lake Ave N, Worcester, Massachusetts. You can reach out to his office (for appointments etc.) via phone at (508) 856-8134.

Edward I Ginns is licensed to practice in Massachusetts (license number 203226) 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 1588646905.

Contact Information

Edward I Ginns, MD PHD
55 Lake Ave N,
Worcester, MA 01655-0002
(508) 856-8134
(508) 856-8145

Map and Direction




Physician's Profile

Full NameEdward I Ginns
GenderMale
SpecialityPsychiatry & Neurology - Neurology
Location55 Lake Ave N, Worcester, Massachusetts
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1588646905
  • Provider Enumeration Date: 11/20/2005
  • Last Update Date: 12/29/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 6204829450
  • Enrollment ID: I20040405001288

Medical Identifiers

Medical identifiers for Edward I Ginns such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1588646905NPI-NPPES
110001182AMedicaidMA
0112887MedicaidMA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207ZP0105XPathology - Clinical Pathology/laboratory Medicine 203226 (Massachusetts)Secondary
2084N0400XPsychiatry & Neurology - Neurology 203226 (Massachusetts)Primary

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. Edward I Ginns allows following entities to bill medicare on his behalf.
Entity NameUmass Memorial Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760445373
PECOS PAC ID: 4284539891
Enrollment ID: O20040113000267

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. Edward I Ginns 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
Edward I Ginns, MD PHD
Po Box 415348,
Boston, MA 02241-5348

Ph: () -
Edward I Ginns, MD PHD
55 Lake Ave N,
Worcester, MA 01655-0002

Ph: (508) 856-8134

Reviews and Comments


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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).

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