Dr Michael Lavin, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in South Waverly, Pennsylvania. His current practice location is
356 Loder St, South Waverly, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at
(570) 882-7414.
Dr Michael Lavin is licensed to practice in Pennsylvania (license number MD072058L) 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 1568426732.
Physician's Profile
Full Name | Dr Michael Lavin |
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Gender | Male |
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Speciality | Psychiatry & Neurology - Psychiatry |
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Location | 356 Loder St, South Waverly, Pennsylvania |
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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: 1568426732
- Provider Enumeration Date: 04/14/2006
- Last Update Date: 02/14/2012
Medicare PECOS Information:
- PECOS PAC ID: 2062540842
- Enrollment ID: I20100515000013
Medical Identifiers
Medical identifiers for Dr Michael Lavin such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1568426732 | NPI | - | NPPES |
001815370 | Medicaid | PA | |
1439241 | Other | PA | HIGHMARK BLUE SHIELD NUMB |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2084P0800X | Psychiatry & Neurology - Psychiatry | MD072058L (Pennsylvania) | 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 Michael Lavin allows following entities to bill medicare on his behalf.
Entity Name | Our Lady Of Lourdes Memorial Hospital Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1629087580 PECOS PAC ID: 1254237779 Enrollment ID: O20031208000366 |
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Entity Name | Mccd Psychiatry Services Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1033750823 PECOS PAC ID: 4082049036 Enrollment ID: O20200121001374 |
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Entity Name | Our Lady Of Lourdes Memorial Hospital Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1649947649 PECOS PAC ID: 1254237779 Enrollment ID: O20211221000340 |
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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 Michael Lavin 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 Michael Lavin, MD 356 Loder St, South Waverly, PA 18840-2611 Ph: (570) 882-7414 | Dr Michael Lavin, MD 356 Loder St, South Waverly, PA 18840-2611 Ph: (570) 882-7414 |
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