Dr Ryan Benjamin Mirchin, DO is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Flushing, New York. His current practice location is
5645 Main St, Flushing, New York. You can reach out to his office (for appointments etc.) via phone at
(718) 670-1507.
Dr Ryan Benjamin Mirchin is licensed to practice in * (Not Available) (license number ) 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 1679154462.
Physician's Profile
| Full Name | Dr Ryan Benjamin Mirchin |
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| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 5645 Main St, Flushing, New York |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1679154462
- Provider Enumeration Date: 04/14/2021
- Last Update Date: 11/03/2024
Medicare PECOS Information:
- PECOS PAC ID: 2163957341
- Enrollment ID: I20241125002504
Medical Identifiers
Medical identifiers for Dr Ryan Benjamin Mirchin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1679154462 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207R00000X | Internal Medicine | 322081 (New York) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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 Ryan Benjamin Mirchin 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 Ryan Benjamin Mirchin, DO
18219 Horace Harding Expy,
Fresh Meadows, NY 11365-2242
Ph: () - | Dr Ryan Benjamin Mirchin, DO
5645 Main St,
Flushing, NY 11355-5045
Ph: (718) 670-1507 |
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