David B Peisner, MD is a medicare enrolled "Obstetrics & Gynecology - Maternal & Fetal Medicine" physician in Dubois, Pennsylvania. His current practice location is
869 Beaver Drive, Dubois, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at
(814) 371-6501.
David B Peisner is licensed to practice in Pennsylvania (license number MD433961) 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 1124095443.
Physician's Profile
| Full Name | David B Peisner |
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| Gender | Male |
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| Speciality | Obstetrics & Gynecology - Maternal & Fetal Medicine |
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| Location | 869 Beaver Drive, Dubois, Pennsylvania |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1124095443
- Provider Enumeration Date: 03/06/2006
- Last Update Date: 05/23/2020
Medicare PECOS Information:
- PECOS PAC ID: 4385666460
- Enrollment ID: I20190411001006
Medical Identifiers
Medical identifiers for David B Peisner such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1124095443 | NPI | - | NPPES |
| MD433961 | Other | PA | STATE MEDICAL LICENSE |
| 1021144330001 | Medicaid | PA | |
| 102114433 | Medicaid | PA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207VM0101X | Obstetrics & Gynecology - Maternal & Fetal Medicine | MD433961 (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. David B Peisner allows following entities to bill medicare on his behalf.
| Entity Name | Obstetrix Medical Group Of Phoenix Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1407957152
PECOS PAC ID: 8628961430
Enrollment ID: O20040206000419 |
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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. David B Peisner 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 |
|---|
David B Peisner, MD
869 Beaver Drive,
Dubois, PA 15801
Ph: (814) 371-6501 | David B Peisner, MD
869 Beaver Drive,
Dubois, PA 15801
Ph: (814) 371-6501 |
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