Dmitry Tverskoy, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" physician in Wilmington, North Carolina. His current practice location is
2520 Troy Dr, Wilmington, North Carolina. You can reach out to his office (for appointments etc.) via phone at
(910) 444-7086.
Dmitry Tverskoy is licensed to practice in North Carolina (license number 5014421) 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 1629642368.
Physician's Profile
Full Name | Dmitry Tverskoy |
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Gender | Male |
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Speciality | Nurse Practitioner - Psychiatric/mental Health |
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Location | 2520 Troy Dr, Wilmington, North Carolina |
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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: 1629642368
- Provider Enumeration Date: 05/17/2021
- Last Update Date: 10/06/2022
Medicare PECOS Information:
- PECOS PAC ID: 0244633857
- Enrollment ID: I20210720002453
Medical Identifiers
Medical identifiers for Dmitry Tverskoy such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1629642368 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 5014421 (North Carolina) | Secondary |
363LF0000X | Nurse Practitioner - Family | 5014421 (North Carolina) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 5014421 (North Carolina) | 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. Dmitry Tverskoy allows following entities to bill medicare on his behalf.
Entity Name | Wilmington Treatment Center, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1588151294 PECOS PAC ID: 2961315908 Enrollment ID: O20180924000287 |
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Entity Name | Restful Mind Mental Health Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1003544123 PECOS PAC ID: 7810363819 Enrollment ID: O20221128000181 |
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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. Dmitry Tverskoy 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 |
Dmitry Tverskoy, 5130 Trumpet Vine Way, Wilmington, NC 28412-6263 Ph: (908) 548-3600 | Dmitry Tverskoy, 2520 Troy Dr, Wilmington, NC 28401-7661 Ph: (910) 444-7086 |
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