David Randall Dynof, MD is a medicare enrolled "Orthopaedic Surgery - Sports Medicine" physician in Shirley, New York. He went to New York Medical College and graduated in 2000 and has 24 years of diverse experience with area of expertise as Orthopedic Surgery. His current practice location is
2 Coraci Blvd, Ste 1, Shirley, New York. You can reach out to his office (for appointments etc.) via phone at
(212) 682-2750.
David Randall Dynof is licensed to practice in New York (license number 225074-1) 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 1912908989.
Physician's Profile
| Full Name | David Randall Dynof |
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| Gender | Male |
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| Speciality | Orthopedic Surgery |
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| Experience | 24 Years |
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| Location | 2 Coraci Blvd, Shirley, New York |
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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. |
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Medical Education and Training:
- David Randall Dynof attended and graduated from New York Medical College in 2000
NPI Data:
- NPI Number: 1912908989
- Provider Enumeration Date: 08/02/2005
- Last Update Date: 02/21/2018
Medicare PECOS Information:
- PECOS PAC ID: 2163470857
- Enrollment ID: I20050110000616
Medical Identifiers
Medical identifiers for David Randall Dynof such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1912908989 | NPI | - | NPPES |
| 02613927 | Medicaid | NY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207XX0005X | Orthopaedic Surgery - Sports Medicine | 225074-1 (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. David Randall Dynof allows following entities to bill medicare on his behalf.
| Entity Name | Drd Medical Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1205045853
PECOS PAC ID: 6204178916
Enrollment ID: O20190430000250 |
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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 Randall Dynof 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 |
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David Randall Dynof, MD
2341 Bellmore Ave,
Bellmore, NY 11710-5624
Ph: (516) 781-8100 | David Randall Dynof, MD
2 Coraci Blvd, Ste 1,
Shirley, NY 11967-4833
Ph: (212) 682-2750 |
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