Dr Elliott Ilya Mitnik, DO is a medicare enrolled "Surgery" physician in West Point, New York. His current practice location is
900 Washington Rd, Credentials Office, Keller Army Community Hospital, West Point, New York. You can reach out to his office (for appointments etc.) via phone at
(646) 327-5476.
Dr Elliott Ilya Mitnik is licensed to practice in New York (license number 260547 - 1) 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 1881977528.
Physician's Profile
| Full Name | Dr Elliott Ilya Mitnik |
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| Gender | Male |
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| Speciality | Surgery |
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| Location | 900 Washington Rd, West Point, New York |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1881977528
- Provider Enumeration Date: 09/20/2011
- Last Update Date: 09/20/2011
Medicare PECOS Information:
- PECOS PAC ID: 7517100753
- Enrollment ID: I20130906000817
Medical Identifiers
Medical identifiers for Dr Elliott Ilya Mitnik such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1881977528 | NPI | - | NPPES |
| 33025F | Other | NY | UPIN NUMBER IS VAD000 |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208600000X | Surgery | 260547 - 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. Dr Elliott Ilya Mitnik allows following entities to bill medicare on his behalf.
| Entity Name | Acute Care Surgery Medical Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1700069549
PECOS PAC ID: 7214006816
Enrollment ID: O20151020000038 |
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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 Elliott Ilya Mitnik 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 Elliott Ilya Mitnik, DO
3620 Bedford Ave Apt C9,
Brooklyn, NY 11210-5212
Ph: () - | Dr Elliott Ilya Mitnik, DO
900 Washington Rd, Credentials Office, Keller Army Community Hospital,
West Point, NY 10996-1109
Ph: (646) 327-5476 |
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