Andres Antonio Mascaro Pankova, MD is a medicare enrolled "Plastic Surgery" physician in Darby, Pennsylvania. He graduated from medical school in 2011 and has 13 years of diverse experience with area of expertise as Plastic And Reconstructive Surgery. He is a member of the group practice Cleveland Clinic Florida (a Nonprofit Corporation) and his current practice location is
1500 Lansdowne Ave, Dept. Of Surgery, Darby, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at
(215) 421-3494.
Andres Antonio Mascaro Pankova is licensed to practice in California (license number 149967) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1922397116.
Physician's Profile
Full Name | Andres Antonio Mascaro Pankova |
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Gender | Male |
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Speciality | Plastic And Reconstructive Surgery |
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Experience | 13 Years |
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Location | 1500 Lansdowne Ave, Darby, Pennsylvania |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Andres Antonio Mascaro Pankova graduated from medical school in 2011
NPI Data:
- NPI Number: 1922397116
- Provider Enumeration Date: 03/29/2011
- Last Update Date: 01/10/2018
Medicare PECOS Information:
- PECOS PAC ID: 3779843347
- Enrollment ID: I20190219001655
Medical Identifiers
Medical identifiers for Andres Antonio Mascaro Pankova such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1922397116 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208600000X | Surgery | 25MA08865700 (New Jersey) | Secondary |
208600000X | Surgery | MT189530 (Pennsylvania) | Secondary |
208600000X | Surgery | 149967 (California) | Secondary |
208200000X | Plastic Surgery | 149967 (California) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Cleveland Clinic Florida (a Nonprofit Corporation) | 7911807128 | 616 |
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. Andres Antonio Mascaro Pankova allows following entities to bill medicare on his behalf.
Entity Name | Cleveland Clinic Florida (a Nonprofit Corporation) |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1215989298 PECOS PAC ID: 7911807128 Enrollment ID: O20040113000394 |
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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. Andres Antonio Mascaro Pankova 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 |
Andres Antonio Mascaro Pankova, MD 330 Cedar St Fl 3, Dept. Of Plastic Surgery, New Haven, CT 06510-3218 Ph: (215) 421-3494 | Andres Antonio Mascaro Pankova, MD 1500 Lansdowne Ave, Dept. Of Surgery, Darby, PA 19023-1291 Ph: (215) 421-3494 |
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