Jean Marie Houghton, MD PHD - Medicare Gastroenterology in Worcester, MA

Jean Marie Houghton, MD PHD is a medicare enrolled "Internal Medicine - Gastroenterology" physician in Worcester, Massachusetts. She went to Rutgers New Jersey Medical School and graduated in 1989 and has 35 years of diverse experience with area of expertise as Gastroenterology. She is a member of the group practice Umass Memorial Medical Group Inc and her current practice location is 55 Lake Ave N, Worcester, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (508) 334-3068.

Jean Marie Houghton is licensed to practice in Massachusetts (license number 212010) 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 1477536399.

Contact Information

Jean Marie Houghton, MD PHD
55 Lake Ave N,
Worcester, MA 01655-0002
(508) 334-3068
Not Available

Map and Direction




Physician's Profile

Full NameJean Marie Houghton
GenderFemale
SpecialityGastroenterology
Experience35 Years
Location55 Lake Ave N, Worcester, Massachusetts
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jean Marie Houghton attended and graduated from Rutgers New Jersey Medical School in 1989
  NPI Data:
  • NPI Number: 1477536399
  • Provider Enumeration Date: 11/23/2005
  • Last Update Date: 11/05/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 9638153133
  • Enrollment ID: I20040614001003

Medical Identifiers

Medical identifiers for Jean Marie Houghton such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1477536399NPI-NPPES
0142557MedicaidMA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RG0100XInternal Medicine - Gastroenterology 212010 (Massachusetts)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Umass Memorial Medical Center/university CampusWorcester, MAHospital
Umass Memorial Healthcare-marlborough HospitalMarlborough, MAHospital
Healthalliance Hospitals, IncLeominster, MAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Umass Memorial Medical Group Inc42845398911898

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. Jean Marie Houghton allows following entities to bill medicare on her 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. Jean Marie Houghton 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
Jean Marie Houghton, MD PHD
Po Box 415348,
Boston, MA 02241-5348

Ph: () -
Jean Marie Houghton, MD PHD
55 Lake Ave N,
Worcester, MA 01655-0002

Ph: (508) 334-3068

Reviews and Comments


Internal Medicine Doctors in Worcester, MA

Dr. Adepeju Gbadebo Champion, M.D.
Gastroenterology
Medicare: Not Enrolled in Medicare
Practice Location: 55 Lake Ave N, Worcester, MA 01655
Phone: 508-334-2731    Fax: 774-442-4672
Madaiah Lokeshwari, M.D.
Gastroenterology
Medicare: Accepting Medicare Assignments
Practice Location: 123 Summer St, Worcester, MA 01608
Phone: 508-363-6849    
Sowmya Korapati,
Gastroenterology
Medicare: Accepting Medicare Assignments
Practice Location: 55 Lake Ave N, Worcester, MA 01655
Phone: 508-334-3550    Fax: 774-442-6715
Irma Nadeem Hashmi, DO
Gastroenterology
Medicare: Medicare Enrolled
Practice Location: 55 Lake Ave N, Worcester, MA 01655
Phone: 508-334-1000    
Dr. Madhav Sharma, MD
Gastroenterology
Medicare: Medicare Enrolled
Practice Location: 123 Summer St, Worcester, MA 01608
Phone: 508-363-5438    
Daniel M Steigman, MD
Gastroenterology
Medicare: Medicare Enrolled
Practice Location: 123 Summer Street, Suite 390, Worcester, MA 01608
Phone: 508-368-3120    Fax: 508-368-3121
Dr. Julia D Andrieni, M.D.
Gastroenterology
Medicare: Not Enrolled in Medicare
Practice Location: 55 Lake Ave N, Department Of General Medicine, Worcester, MA 01655
Phone: 508-334-2731    

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.