Dr Callistus N Ditah, MD in Syracuse, NY - Medicare Thoracic Surgery (Cardiothoracic Vascular Surgery)

Dr Callistus N Ditah, MD is a medicare enrolled "Thoracic Surgery (cardiothoracic Vascular Surgery)" physician in Syracuse, New York. His current practice location is 739 Irving Ave, Suite 640, Syracuse, New York. You can reach out to his office (for appointments etc.) via phone at (315) 464-6255.

Dr Callistus N Ditah is licensed to practice in New York (license number 330140) 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 1972981215.

Contact Information

	Dr Callistus N Ditah, MD
	739 Irving Ave, Suite 640, Syracuse, NY 13210-5095
	(315) 464-6255
	(615) 464-6251

Map and Direction

Physician's Profile

Full Name	Dr Callistus N Ditah
Gender	Male
Speciality	Thoracic Surgery (cardiothoracic Vascular Surgery)
Location	739 Irving Ave, Syracuse, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1972981215
Provider Enumeration Date: 05/07/2015
Last Update Date: 08/15/2024

Medicare PECOS Information:

PECOS PAC ID: 5496051526
Enrollment ID: I20230808002201

Medical Identifiers

Medical identifiers for Dr Callistus N Ditah such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1972981215	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208G00000X	Thoracic Surgery (cardiothoracic Vascular Surgery)	330140 (New York)	Primary
208G00000X	Thoracic Surgery (cardiothoracic Vascular Surgery)	MD61423828 (Washington)	Secondary

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 Callistus N Ditah allows following entities to bill medicare on his behalf.

Entity Name	The Association Of University Physicians
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023041159 PECOS PAC ID: 0446162697 Enrollment ID: O20031105000244

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 Callistus N Ditah 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 Callistus N Ditah, MD 739 Irving Ave, Suite 640, Syracuse, NY 13210-5095 Ph: (315) 464-6255	Dr Callistus N Ditah, MD 739 Irving Ave, Suite 640, Syracuse, NY 13210-5095 Ph: (315) 464-6255

Reviews and Comments

Thoracic Surgery (Cardiothoracic Vascular Surgery) Doctors in Syracuse, NY

Mehdi A Marvasti, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 104 Union Ave, Suite 1008, Syracuse, NY 13203 Phone: 315-422-4442 Fax: 315-448-6126
Suhas V. Pradhan, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Not Enrolled in Medicare Practice Location: 725 Irving Ave, Ste 514, Syracuse, NY 13210 Phone: 315-475-8409 Fax: 315-475-6026
Mr. Timothy D Keyes, PA Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 301 Prospect Ave, Syracuse, NY 13203 Phone: 315-448-5111 Fax: 315-703-5079
Richard Sang Lee, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Medicare Enrolled Practice Location: 750 East Adams St, Syracuse, NY 13210 Phone: 315-464-1800 Fax: 315-464-6238
Dr. Kyril Choumarov, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 750 East Adams St, Ste 4835, Syracuse, NY 13210 Phone: 315-464-1800 Fax: 315-464-6238
Sanjay A Samy, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 750 East Adams St, Syracuse, NY 13210 Phone: 315-464-1800 Fax: 315-464-6238
Dr. Donato Antonio Sisto, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Medicare Enrolled Practice Location: 739 Irving Ave, Suite 640, Syracuse, NY 13210 Phone: 315-464-6255 Fax: 315-464-6251

Dr Callistus N Ditah, MD - Medicare Thoracic Surgery (Cardiothoracic Vascular Surgery) in Syracuse, NY