Carol S Ishak, MD is a medicare enrolled "Anesthesiology" physician in Dickson City, Pennsylvania. Her current practice location is
330 Main St, Dickson City, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(484) 884-4500.
Carol S Ishak is licensed to practice in Pennsylvania (license number MD030695E) 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 1710942743.
Physician's Profile
Full Name | Carol S Ishak |
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Gender | Female |
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Speciality | Anesthesiology |
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Location | 330 Main St, Dickson City, Pennsylvania |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1710942743
- Provider Enumeration Date: 04/20/2006
- Last Update Date: 02/19/2024
Medicare PECOS Information:
- PECOS PAC ID: 3375633217
- Enrollment ID: I20200330003188
Medical Identifiers
Medical identifiers for Carol S Ishak such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1710942743 | NPI | - | NPPES |
1710942743 | Medicaid | CT | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207L00000X | Anesthesiology | 026427 (Connecticut) | Secondary |
207L00000X | Anesthesiology | MD030695E (Pennsylvania) | 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. Carol S Ishak allows following entities to bill medicare on her behalf.
Entity Name | Lehigh Valley Physician Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1457309650 PECOS PAC ID: 3072425123 Enrollment ID: O20040227000335 |
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Entity Name | Capital Anesthesia Solutions Of Philadelphia Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1407402365 PECOS PAC ID: 5597197046 Enrollment ID: O20191121001321 |
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Entity Name | 360 Anesthesia Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1811637366 PECOS PAC ID: 5991184863 Enrollment ID: O20220623001003 |
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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. Carol S Ishak 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 |
Carol S Ishak, MD 2100 Mack Blvd Fl 4, Allentown, PA 18103-5622 Ph: (484) 884-4500 | Carol S Ishak, MD 330 Main St, Dickson City, PA 18519-1691 Ph: (484) 884-4500 |
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