Eitan Medini, MD is a medicare enrolled "Radiology - Radiation Oncology" physician in St Cloud, Minnesota. His current practice location is
1900 Centra Care Cir #1600, Centra Care Clinic Health Plaza / Radiation Oncology, St Cloud, Minnesota. You can reach out to his office (for appointments etc.) via phone at
(320) 229-4901.
Eitan Medini is licensed to practice in Minnesota (license number 21866) 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 1962493643.
Physician's Profile
| Full Name | Eitan Medini |
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| Gender | Male |
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| Speciality | Radiology - Radiation Oncology |
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| Location | 1900 Centra Care Cir #1600, St Cloud, Minnesota |
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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: 1962493643
- Provider Enumeration Date: 11/02/2005
- Last Update Date: 08/10/2011
Medicare PECOS Information:
- PECOS PAC ID: 0345289930
- Enrollment ID: I20050503000691
Medical Identifiers
Medical identifiers for Eitan Medini such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1962493643 | NPI | - | NPPES |
| 1027482 | Other | | PREFERRED ONE |
| 512RIME | Other | | BLUE CROSS BLUE SHIELD |
| COMP | Other | | FIRST HEALTH PLAN |
| COMP | Other | | MMSI |
| 315JOME | Other | | BLUE CROSS BLUE SHIELD |
| 978660 | Other | | ARAZ GROUP AMERICAS PPO |
| 2400101 | Other | | MEDICA HEALTH PLANS |
| 252563100 | Medicaid | MN | |
| COMP | Other | | ONE HEALTH PLAN GREAT WES |
| 127789 | Other | | U CARE |
| COMP | Other | | CHAMPUS |
| HP33037 | Other | | HEALTH PARTNERS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2085R0001X | Radiology - Radiation Oncology | 21866 (Minnesota) | 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. Eitan Medini allows following entities to bill medicare on his behalf.
| Entity Name | Healtheast Medical Research Institute |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1639125503
PECOS PAC ID: 3971407636
Enrollment ID: O20031124000507 |
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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. Eitan Medini 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 |
|---|
Eitan Medini, MD
1900 Centra Care Cir #1600, Centra Care Clinic Health Plaza / Radiation Oncology,
St Cloud, MN 56303-5000
Ph: (320) 229-4901 | Eitan Medini, MD
1900 Centra Care Cir #1600, Centra Care Clinic Health Plaza / Radiation Oncology,
St Cloud, MN 56303-5000
Ph: (320) 229-4901 |
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