Dr Bruce Robert Mirvis, MD in Columbus, OH

Dr Bruce Robert Mirvis, MD is a medicare enrolled "Pediatrics" physician in Columbus, Ohio. His current practice location is 1070 Polaris Pkwy, Suite 100, Columbus, Ohio. You can reach out to his office (for appointments etc.) via phone at (614) 437-5600.

Dr Bruce Robert Mirvis is licensed to practice in Ohio (license number 35.039260) 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 1568434835.

Contact Information

	Dr Bruce Robert Mirvis, MD
	1070 Polaris Pkwy, Suite 100, Columbus, OH 43240-4038
	(614) 437-5600
	(614) 437-6275

Map and Direction

Physician's Profile

Full Name	Dr Bruce Robert Mirvis
Gender	Male
Speciality	Pediatrics
Location	1070 Polaris Pkwy, Columbus, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1568434835
Provider Enumeration Date: 02/02/2006
Last Update Date: 02/09/2023

Medicare PECOS Information:

PECOS PAC ID: 4688911571
Enrollment ID: I20200203001414

Medical Identifiers

Medical identifiers for Dr Bruce Robert Mirvis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1568434835	NPI	-	NPPES
0345086	Medicaid	OH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	4301116689 (Michigan)	Secondary
208000000X	Pediatrics	2018042193 (Missouri)	Secondary
208000000X	Pediatrics	35.039260 (Ohio)	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. Dr Bruce Robert Mirvis allows following entities to bill medicare on his behalf.

Entity Name	Family Health Center, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1811065576 PECOS PAC ID: 1759370216 Enrollment ID: O20040510000899

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 Bruce Robert Mirvis 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
Dr Bruce Robert Mirvis, MD 1070 Polaris Pkwy, Suite 100, Columbus, OH 43240-4038 Ph: (614) 437-5600	Dr Bruce Robert Mirvis, MD 1070 Polaris Pkwy, Suite 100, Columbus, OH 43240-4038 Ph: (614) 437-5600

Reviews and Comments

Pediatrics Doctors in Columbus, OH

Amrik Singh Khalsa, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 700 Childrens Dr, Columbus, OH 43205 Phone: 614-722-2000 Fax: 614-722-4966
Sara Foley Schroder, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2857 W Broad St, Columbus, OH 43204 Phone: 614-722-6200
Mr. Christopher Jones, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 700 Childrens Dr, Columbus, OH 43205 Phone: 614-722-2000
Claire Elizabeth Christian, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 700 Childrens Dr, Columbus, OH 43205 Phone: 614-722-2000
Laura Gardner Hamant, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 700 Childrens Dr, Columbus, OH 43205 Phone: 614-722-2000
Valentina Gutierrez, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 80 E Rich St Apt 819, Columbus, OH 43215 Phone: 380-242-1699
Leif Daniel Nelin, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 700 Childrens Dr, Columbus, OH 43205 Phone: 614-722-4559 Fax: 614-722-4541

Dr Bruce Robert Mirvis, MD - Medicare Pediatrics in Columbus, OH