Dr Mikhail Kislitcyn, MD is a medicare enrolled "Orthopaedic Surgery" physician in Pago Pago, American Samoa. His current practice location is
1 Dr. Paul Turner Drive, Pago Pago, American Samoa. You can reach out to his office (for appointments etc.) via phone at
(684) 633-1222.
Dr Mikhail Kislitcyn is licensed to practice in American Samoa (license number 5093C) 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 1083478226.
Physician's Profile
Full Name | Dr Mikhail Kislitcyn |
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Gender | Male |
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Speciality | Orthopaedic Surgery |
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Location | 1 Dr. Paul Turner Drive, Pago Pago, American Samoa |
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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: 1083478226
- Provider Enumeration Date: 02/08/2024
- Last Update Date: 02/08/2024
Medicare PECOS Information:
- PECOS PAC ID: 1557708542
- Enrollment ID: I20240326003461
Medical Identifiers
Medical identifiers for Dr Mikhail Kislitcyn such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1083478226 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207X00000X | Orthopaedic Surgery | 5093C (American Samoa) | 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 Mikhail Kislitcyn allows following entities to bill medicare on his behalf.
Entity Name | American Samoa Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1043085681 PECOS PAC ID: 4385545870 Enrollment ID: O20240102002464 |
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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 Mikhail Kislitcyn 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 Mikhail Kislitcyn, MD 1 Dr. Paul Turner Drive, Pago Pago, AS 96799 Ph: (684) 633-1222 | Dr Mikhail Kislitcyn, MD 1 Dr. Paul Turner Drive, Pago Pago, AS 96799 Ph: (684) 633-1222 |
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