Dr Andrey P Seluzhitskiy, MD is a medicare enrolled "Family Medicine" physician in New Carlisle, Indiana. He graduated from medical school in 1997 and has 27 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice The South Bend Clinic Llc and his current practice location is
8984 E Us Highway 20, New Carlisle, Indiana. You can reach out to his office (for appointments etc.) via phone at
(574) 654-8490.
Dr Andrey P Seluzhitskiy is licensed to practice in Indiana (license number 01059665A) 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 1568452902.
Physician's Profile
| Full Name | Dr Andrey P Seluzhitskiy |
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| Gender | Male |
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| Speciality | Family Practice |
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| Experience | 27 Years |
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| Location | 8984 E Us Highway 20, New Carlisle, Indiana |
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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:
- Dr Andrey P Seluzhitskiy graduated from medical school in 1997
NPI Data:
- NPI Number: 1568452902
- Provider Enumeration Date: 10/26/2005
- Last Update Date: 07/29/2016
Medicare PECOS Information:
- PECOS PAC ID: 1658351788
- Enrollment ID: I20050909000816
Medical Identifiers
Medical identifiers for Dr Andrey P Seluzhitskiy such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1568452902 | NPI | - | NPPES |
| 200528000 | Medicaid | IN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 01059665A (Indiana) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| The South Bend Clinic Llc | 3779577937 | 173 |
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. Dr Andrey P Seluzhitskiy allows following entities to bill medicare on his behalf.
| Entity Name | The South Bend Clinic Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1073680419
PECOS PAC ID: 3779577937
Enrollment ID: O20040412000439 |
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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. Dr Andrey P Seluzhitskiy 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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Dr Andrey P Seluzhitskiy, MD
8984 E Us Highway 20,
New Carlisle, IN 46552-9038
Ph: (574) 654-8490 | Dr Andrey P Seluzhitskiy, MD
8984 E Us Highway 20,
New Carlisle, IN 46552-9038
Ph: (574) 654-8490 |
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