Evan Peskin, MD MBA is a medicare enrolled "Pain Medicine - Interventional Pain Medicine" physician in Flint, Michigan. His current practice location is
4800 S Saginaw St Ste 1800, Flint, Michigan. You can reach out to his office (for appointments etc.) via phone at
(810) 732-9333.
Evan Peskin is licensed to practice in Michigan (license number 4301507484) 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 1669904959.
Physician's Profile
| Full Name | Evan Peskin |
|---|
| Gender | Male |
|---|
| Speciality | Pain Medicine - Interventional Pain Medicine |
|---|
| Location | 4800 S Saginaw St Ste 1800, Flint, Michigan |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1669904959
- Provider Enumeration Date: 03/28/2017
- Last Update Date: 01/26/2024
Medicare PECOS Information:
- PECOS PAC ID: 4688055817
- Enrollment ID: I20220720000731
Medical Identifiers
Medical identifiers for Evan Peskin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1669904959 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207L00000X | Anesthesiology | 4301507484 (Michigan) | Secondary |
| 207LP2900X | Anesthesiology - Pain Medicine | 149677 (Florida) | Secondary |
| 207LP2900X | Anesthesiology - Pain Medicine | 4301507484 (Michigan) | Secondary |
| 208100000X | Physical Medicine & Rehabilitation | 4301507484 (Michigan) | Secondary |
| 2081P2900X | Physical Medicine & Rehabilitation - Pain Medicine | 4301507487 (Michigan) | Secondary |
| 208VP0000X | Pain Medicine - Pain Medicine | 4301507484 (Michigan) | Secondary |
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | 4301507484 (Michigan) | 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. Evan Peskin allows following entities to bill medicare on his behalf.
| Entity Name | Jawad A Shah, Md Pc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1942402391
PECOS PAC ID: 5799779633
Enrollment ID: O20040413000798 |
|---|
| Entity Name | Insight Anesthesia Pllc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1952775975
PECOS PAC ID: 4486066297
Enrollment ID: O20201221001732 |
|---|
| Entity Name | Jawad A Shah, Md Pc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1952678914
PECOS PAC ID: 5799779633
Enrollment ID: O20220608001188 |
|---|
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. Evan Peskin 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 |
|---|
Evan Peskin, MD MBA
1611 Nw 12th Ave, (c-301),
Miami, FL 33136-1005
Ph: (305) 585-6970 | Evan Peskin, MD MBA
4800 S Saginaw St Ste 1800,
Flint, MI 48507-2677
Ph: (810) 732-9333 |
Reviews and Comments