Dr John Demetrios Lagoutaris, DPM in Saint Augustine, FL

Dr John Demetrios Lagoutaris, DPM is a medicare enrolled "Podiatrist - Foot Surgery" provider in Saint Augustine, Florida. His current practice location is 300 Kingsley Lake Dr, Ste. 402, Saint Augustine, Florida. You can reach out to his office (for appointments etc.) via phone at (904) 826-1375.

Dr John Demetrios Lagoutaris is licensed to practice in Florida (license number PO 3240) 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 1780690867.

Contact Information

	Dr John Demetrios Lagoutaris, DPM
	300 Kingsley Lake Dr, Ste. 402, Saint Augustine, FL 32092-3037
	(904) 826-1375
	(904) 779-4964

Map and Direction

Healthcare Provider's Profile

Full Name	Dr John Demetrios Lagoutaris
Gender	Male
Speciality	Podiatrist - Foot Surgery
Location	300 Kingsley Lake Dr, Saint Augustine, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1780690867
Provider Enumeration Date: 07/31/2006
Last Update Date: 08/10/2015

Medicare PECOS Information:

PECOS PAC ID: 8325044084
Enrollment ID: I20061020000153

Medical Identifiers

Medical identifiers for Dr John Demetrios Lagoutaris such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1780690867	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
213ES0131X	Podiatrist - Foot Surgery	PO 3240 (Florida)	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. Dr John Demetrios Lagoutaris allows following entities to bill medicare on his behalf.

Provider Name	St. Johns Interventional And Vascular Institute
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1447767686 PECOS PAC ID: 5698028967 Enrollment ID: O20181102002125

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 John Demetrios Lagoutaris 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
Dr John Demetrios Lagoutaris, DPM 300 Kingsley Lake Dr, Ste. 402, Saint Augustine, FL 32092-3037 Ph: (904) 429-9859	Dr John Demetrios Lagoutaris, DPM 300 Kingsley Lake Dr, Ste. 402, Saint Augustine, FL 32092-3037 Ph: (904) 826-1375

Reviews and Comments

Podiatrist in Saint Augustine, FL

Dr. Daniel Alexander Black, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 113 Nature Walk Pkwy, Unit 105, Saint Augustine, FL 32092 Phone: 315-382-5910
Superior Podiatry, Llc Podiatrist Medicare: Medicare Enrolled Practice Location: 1690 Us Highway 1 S Ste C, Saint Augustine, FL 32084 Phone: 904-436-8001 Fax: 904-377-6776
St. Johns Podiatry & Wound Care Specialists Llc Podiatrist Medicare: Medicare Enrolled Practice Location: 113 Nature Walk Pwky, Ste. 105, Saint Augustine, FL 32092 Phone: 315-382-5910

Dr John Demetrios Lagoutaris, DPM - Medicare Podiatrist in Saint Augustine, FL