Gvantsa Didebulidze, MD in Brockton, MA - Medicare Internal Medicine

Gvantsa Didebulidze, MD is a medicare enrolled "Internal Medicine" physician in Brockton, Massachusetts. She graduated from medical school in 2009 and has 15 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice North Shore Physicians Group Inc and her current practice location is 63 Main St, Brockton, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (508) 559-6699.

Gvantsa Didebulidze is licensed to practice in Massachusetts (license number 257775) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1730474644.

Contact Information

	Gvantsa Didebulidze, MD
	63 Main St, Brockton, MA 02301-4042
	(508) 559-6699
	(508) 559-5073

Map and Direction

Physician's Profile

Full Name	Gvantsa Didebulidze
Gender	Female
Speciality	Internal Medicine
Experience	15 Years
Location	63 Main St, Brockton, Massachusetts
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Gvantsa Didebulidze graduated from medical school in 2009

NPI Data:

NPI Number: 1730474644
Provider Enumeration Date: 06/20/2011
Last Update Date: 10/14/2014

Medicare PECOS Information:

PECOS PAC ID: 0143441758
Enrollment ID: I20141024000170

Medical Identifiers

Medical identifiers for Gvantsa Didebulidze such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1730474644	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	257775 (Massachusetts)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
North Shore Medical Center -	Salem, MA	Hospital
Massachusetts General Hospital	Boston, MA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
North Shore Physicians Group Inc	3577467224	492

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. Gvantsa Didebulidze allows following entities to bill medicare on her behalf.

Entity Name	Brockton Neighborhood Health Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225085319 PECOS PAC ID: 3870491699 Enrollment ID: O20031230000558

Entity Name	North Shore Physicians Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588606123 PECOS PAC ID: 3577467224 Enrollment ID: O20050429000668

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. Gvantsa Didebulidze 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
Gvantsa Didebulidze, MD 63 Main St, Brockton, MA 02301-4042 Ph: (508) 559-6699	Gvantsa Didebulidze, MD 63 Main St, Brockton, MA 02301-4042 Ph: (508) 559-6699

Reviews and Comments

Internal Medicine Doctors in Brockton, MA

Louis D. Gottlieb, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 680 Centre St, Managed Care, Brockton, MA 02302 Phone: 508-941-7065 Fax: 508-941-6373
Gloria Ibarra, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 63 Main St, Brockton, MA 02301 Phone: 508-559-6699 Fax: 508-559-5073
Elsie Varughese, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 63 Main St, Brockton, MA 02301 Phone: 508-559-6699 Fax: 508-583-4649
Jane G Butlin, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Pearl St, Suite 2200, Brockton, MA 02301 Phone: 508-897-6051 Fax: 508-897-6096
Jacob Mandell, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 680 Centre St, Brockton Hospital, Brockton, MA 02302 Phone: 508-941-7150
Jolly Abeskheron, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Pearl St, Suite 1000, Brockton, MA 02301 Phone: 508-897-6060 Fax: 508-897-6063
Xin He, Internal Medicine Medicare: Medicare Enrolled Practice Location: 110 Liberty St, Brockton, MA 02301 Phone: 508-894-0400

Gvantsa Didebulidze, MD - Medicare Internal Medicine in Brockton, MA