Elliot Sultanik, is a medicare enrolled "Nuclear Medicine - Nuclear Cardiology" physician in Baltimore, Maryland. His current practice location is
22 S Greene St Rm N3e09, Baltimore, Maryland. You can reach out to his office (for appointments etc.) via phone at
(410) 328-6110.
Elliot Sultanik is licensed to practice in Maryland (license number D92866) 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 1508220583.
Physician's Profile
Full Name | Elliot Sultanik |
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Gender | Male |
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Speciality | Nuclear Medicine - Nuclear Cardiology |
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Location | 22 S Greene St Rm N3e09, Baltimore, Maryland |
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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: 1508220583
- Provider Enumeration Date: 04/06/2016
- Last Update Date: 09/29/2022
Medicare PECOS Information:
- PECOS PAC ID: 8820383250
- Enrollment ID: I20220816000616
Medical Identifiers
Medical identifiers for Elliot Sultanik such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1508220583 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | D92886 (Maryland) | Secondary |
207RC0000X | Internal Medicine - Cardiovascular Disease | D92886 (Maryland) | Secondary |
207UN0901X | Nuclear Medicine - Nuclear Cardiology | D92866 (Maryland) | 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. Elliot Sultanik allows following entities to bill medicare on his behalf.
Entity Name | University Of Maryland St Joseph Medical Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1770836785 PECOS PAC ID: 4880846179 Enrollment ID: O20121213000234 |
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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. Elliot Sultanik 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 |
Elliot Sultanik, 22 S Greene St Rm N3e09, Baltimore, MD 21201-1544 Ph: (410) 328-6110 | Elliot Sultanik, 22 S Greene St Rm N3e09, Baltimore, MD 21201-1544 Ph: (410) 328-6110 |
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