Andia Mitri Renz, MD in Syosset, NY

Andia Mitri Renz, MD is a medicare enrolled "Dermatology" physician in Syosset, New York. Her current practice location is 575 Underhill Blvd Ste 100, Syosset, New York. You can reach out to her office (for appointments etc.) via phone at (516) 921-2294.

Andia Mitri Renz is licensed to practice in New York (license number 32930901) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1578191391.

Contact Information

	Andia Mitri Renz, MD
	575 Underhill Blvd Ste 100, Syosset, NY 11791-3416
	(516) 921-2294
	(516) 921-1206

Map and Direction

Physician's Profile

Full Name	Andia Mitri Renz
Gender	Female
Speciality	Dermatology
Location	575 Underhill Blvd Ste 100, Syosset, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1578191391
Provider Enumeration Date: 03/28/2020
Last Update Date: 10/08/2024

Medicare PECOS Information:

PECOS PAC ID: 1254877335
Enrollment ID: I20240725000448

Medical Identifiers

Medical identifiers for Andia Mitri Renz such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1578191391	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	125.075573 (Illinois)	Secondary
207N00000X	Dermatology	32930901 (New York)	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. Andia Mitri Renz allows following entities to bill medicare on her behalf.

Entity Name	Optum Medical Care Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1982643003 PECOS PAC ID: 9931013240 Enrollment ID: O20031119000321

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. Andia Mitri Renz 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
Andia Mitri Renz, MD 575 Underhill Blvd Ste 100, Syosset, NY 11791-3416 Ph: () -	Andia Mitri Renz, MD 575 Underhill Blvd Ste 100, Syosset, NY 11791-3416 Ph: (516) 921-2294

Reviews and Comments

Dermatology Doctors in Syosset, NY

Dr. Paul I Schneiderman, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 175 Jericho Turnpike, Ste 224, Syosset, NY 11791 Phone: 516-921-8688 Fax: 516-921-8552
Dr. Darren Keith Mollick, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 175 Jericho Tpke, Suite 320, Syosset, NY 11791 Phone: 516-921-6780

Andia Mitri Renz, MD - Medicare Dermatology in Syosset, NY