Dr Jacob Gregory Ludington, MD, PHD - Student in an Organized Health Care Education/Training Program in Boston, MA

Dr Jacob Gregory Ludington, MD, PHD is a Student In An Organized Health Care Education/training Program physician based in Boston, Massachusetts. Dr Jacob Gregory Ludington is licensed to practice in * (Not Available) (license number ) and his current practice location is 800 Washington St, Boston, Massachusetts. He can be reached at his office (for appointments etc.) via phone at (617) 636-2567.

NPI number for Dr Jacob Gregory Ludington is 1134613383 and his current mailing address is 800 Washington St # 115, Boston, Massachusetts. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1134613383.

Contact Information

Dr Jacob Gregory Ludington, MD, PHD
800 Washington St,
Boston, MA 02111-1552
(617) 636-2567
Not Available



Physician's Profile

Full NameDr Jacob Gregory Ludington
GenderMale
SpecialityStudent In An Organized Health Care Education/training Program
Location800 Washington St, Boston, Massachusetts
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1134613383
  • Provider Enumeration Date: 06/20/2018
  • Last Update Date: 05/06/2021

Medical Identifiers

Medical identifiers for Dr Jacob Gregory Ludington such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1134613383NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207L00000XAnesthesiology 2018018657 (Missouri)Secondary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Primary

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 Jacob Gregory Ludington is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Jacob Gregory Ludington, MD, PHD
800 Washington St # 115,
Boston, MA 02111-1552

Ph: () -
Dr Jacob Gregory Ludington, MD, PHD
800 Washington St,
Boston, MA 02111-1552

Ph: (617) 636-2567

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