Dr Michael Mstislavovich Ivanitsky, MD is a medicare enrolled "Orthopaedic Surgery" physician in Coquille, Oregon. His current practice location is
940 E 5th St, Coquille, Oregon. You can reach out to his office (for appointments etc.) via phone at
(541) 396-3111.
Dr Michael Mstislavovich Ivanitsky is licensed to practice in Oregon (license number MD22589) 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 1003837410.
Physician's Profile
| Full Name | Dr Michael Mstislavovich Ivanitsky |
|---|
| Gender | Male |
|---|
| Speciality | |
|---|
| Experience | Years |
|---|
| Location | 940 E 5th St, Coquille, Oregon |
|---|
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
|---|
Medical Education and Training:
- Dr Michael Mstislavovich Ivanitsky attended and graduated from in
NPI Data:
- NPI Number: 1003837410
- Provider Enumeration Date: 07/21/2006
- Last Update Date: 09/04/2020
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Michael Mstislavovich Ivanitsky such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1003837410 | NPI | - | NPPES |
| 288121 | Medicaid | OR | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207X00000X | Orthopaedic Surgery | MD22589 (Oregon) | Primary |
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 Mstislavovich Ivanitsky 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 Mstislavovich Ivanitsky, MD
940 E 5th St,
Coquille, OR 97423-1666
Ph: (541) 396-3111 | Dr Michael Mstislavovich Ivanitsky, MD
940 E 5th St,
Coquille, OR 97423-1699
Ph: (541) 396-3111 |
Reviews and Comments