Dr Misha Matongo Mutizwa, MD in Danville, PA

Dr Misha Matongo Mutizwa, MD is a medicare enrolled "Dermatology" physician in Danville, Pennsylvania. He went to Duke University School Of Medicine and graduated in 2009 and has 15 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice Geisinger Clinic and his current practice location is 16 Woodbine Lane, Danville, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (570) 271-8050.

Dr Misha Matongo Mutizwa is licensed to practice in Pennsylvania (license number MD452484) 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 1154559375.

Contact Information

	Dr Misha Matongo Mutizwa, MD
	16 Woodbine Lane, Danville, PA 17822
	(570) 271-8050
	(570) 271-5940

Map and Direction

Physician's Profile

Full Name	Dr Misha Matongo Mutizwa
Gender	Male
Speciality	Dermatology
Experience	15 Years
Location	16 Woodbine Lane, Danville, Pennsylvania
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 Misha Matongo Mutizwa attended and graduated from Duke University School Of Medicine in 2009

NPI Data:

NPI Number: 1154559375
Provider Enumeration Date: 06/25/2009
Last Update Date: 08/27/2020

Medicare PECOS Information:

PECOS PAC ID: 8123257870
Enrollment ID: I20141001001507

Medical Identifiers

Medical identifiers for Dr Misha Matongo Mutizwa such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1154559375	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207N00000X	Dermatology	A126572 (California)	Secondary
207N00000X	Dermatology	MD452484 (Pennsylvania)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Geisinger Medical Center	Danville, PA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Geisinger Clinic	5395657001	2841

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 Misha Matongo Mutizwa allows following entities to bill medicare on his behalf.

Entity Name	Geisinger Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366493868 PECOS PAC ID: 5395657001 Enrollment ID: O20040130000518

Entity Name	Fox Chase Cancer Center Medical Group, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396019444 PECOS PAC ID: 8123289550 Enrollment ID: O20120412000054

Entity Name	Geisinger-hm Joint Venture Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1144876137 PECOS PAC ID: 1355676370 Enrollment ID: O20190826000803

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 Misha Matongo Mutizwa 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 Misha Matongo Mutizwa, MD 100 N Academy Ave, Danville, PA 17822-4903 Ph: (570) 271-6144	Dr Misha Matongo Mutizwa, MD 16 Woodbine Lane, Danville, PA 17822 Ph: (570) 271-8050

Reviews and Comments

Dermatology Doctors in Danville, PA

Dr. Ramya S Chockalingam, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 16 Woodbine Lane, Danville, PA 17822 Phone: 570-271-8074 Fax: 570-271-5940
Dr. Victor John Marks, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 16 Woodbine Ln, Danville, PA 17822 Phone: 570-271-8050 Fax: 570-271-5940
Dr. Cassondra Andreychik Ellison, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 16 Woodbine Ln, Danville, PA 17821 Phone: 570-271-8050 Fax: 570-271-5940
Dr. Victor J Marks, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 16 Woodbine Lane, Danville, PA 17822 Phone: 570-271-8050 Fax: 570-271-5940
Dr. Katherine Chilek Marks, D.O. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 115 Woodbine Ln, Danville, PA 17821 Phone: 570-271-8050 Fax: 570-271-5940
Dr. Tammie C Ferringer, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 100 N Academy Ave, Danville, PA 17822 Phone: 570-271-6338 Fax: 570-271-6105

Dr Misha Matongo Mutizwa, MD - Medicare Dermatology in Danville, PA