Dr Roman Misiow, MD is a medicare enrolled "Pediatrics" physician in Dana Point, California. His current practice location is
24232 Porto Fino, Dana Point, California. You can reach out to his office (for appointments etc.) via phone at
(949) 661-8461.
Dr Roman Misiow is licensed to practice in California (license number AFE26663) 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 1205999000.
Physician's Profile
Full Name | Dr Roman Misiow |
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Gender | Male |
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Speciality | Pediatrics |
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Location | 24232 Porto Fino, Dana Point, California |
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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: 1205999000
- Provider Enumeration Date: 12/19/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 9133443526
- Enrollment ID: I20150113000082
Medical Identifiers
Medical identifiers for Dr Roman Misiow such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1205999000 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | AFE26663 (California) | 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 Roman Misiow 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 Roman Misiow, MD 24232 Porto Fino, Dana Point, CA 92629-4512 Ph: (949) 661-8461 | Dr Roman Misiow, MD 24232 Porto Fino, Dana Point, CA 92629-4512 Ph: (949) 661-8461 |
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