Gennady G Miroshnichenko, MD in Fort Worth, TX - Medicare Gynecological Oncology

Gennady G Miroshnichenko, MD is a medicare enrolled "Obstetrics & Gynecology - Gynecologic Oncology" physician in Fort Worth, Texas. He graduated from medical school in 1994 and has 30 years of diverse experience with area of expertise as Gynecological Oncology. He is a member of the group practice Acclaim Physician Group Inc and his current practice location is 1201 S Main St, Fort Worth, Texas. You can reach out to his office (for appointments etc.) via phone at (817) 702-6500.

Gennady G Miroshnichenko is licensed to practice in Texas (license number P4595) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1164784450.

Contact Information

	Gennady G Miroshnichenko, MD
	1201 S Main St, Fort Worth, TX 76104-4804
	(817) 702-6500
	(817) 702-6561

Map and Direction

Physician's Profile

Full Name	Gennady G Miroshnichenko
Gender	Male
Speciality	Gynecological Oncology
Experience	30 Years
Location	1201 S Main St, Fort Worth, Texas
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Gennady G Miroshnichenko graduated from medical school in 1994

NPI Data:

NPI Number: 1164784450
Provider Enumeration Date: 06/12/2012
Last Update Date: 02/01/2021

Medicare PECOS Information:

PECOS PAC ID: 6507015278
Enrollment ID: I20121012000700

Medical Identifiers

Medical identifiers for Gennady G Miroshnichenko such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164784450	NPI	-	NPPES
307460101	Medicaid	TX
8DM684	Other	TX	BCBS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207V00000X	Obstetrics & Gynecology	P4595 (Texas)	Secondary
207VX0201X	Obstetrics & Gynecology - Gynecologic Oncology	P4595 (Texas)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Jps Health Network	Fort worth, TX	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Acclaim Physician Group Inc	4587963582	442

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. Gennady G Miroshnichenko allows following entities to bill medicare on his behalf.

Entity Name	Acclaim Physician Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780076562 PECOS PAC ID: 4587963582 Enrollment ID: O20160426000707

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. Gennady G Miroshnichenko 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
Gennady G Miroshnichenko, MD Po Box 732973, Dallas, TX 75373-2973 Ph: (817) 702-8450	Gennady G Miroshnichenko, MD 1201 S Main St, Fort Worth, TX 76104-4804 Ph: (817) 702-6500

Reviews and Comments

Obstetrics & Gynecology Doctors in Fort Worth, TX

Dr. Robert Arthur Burke, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 7100 Oakmont Blvd, Suite 104, Fort Worth, TX 76132 Phone: 817-423-0600
Dr. Cynthia Lynn Hartman, DO Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 10840 Texas Health Trl Ste 110, Fort Worth, TX 76244 Phone: 682-212-6437 Fax: 682-212-9438
Dr. Benjamin Aude Mcwilliams, M. D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 6659 Gascony Pl, Fort Worth, TX 76132 Phone: 817-423-9653
Lydia A Luna, M.D., P. A. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1307 8th Ave, #602, Fort Worth, TX 76104 Phone: 817-877-1848 Fax: 817-877-3716
Jeffrey M Hantes, DO Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1327 Hemphill St., Suite 100, Fort Worth, TX 76104 Phone: 817-731-3936 Fax: 817-782-0206
Dr. Shashi P Rastogi, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1001. 12th Ave., 174, Fort Worth, TX 76104 Phone: 817-348-0701 Fax: 817-348-0702
Courtney Walters, M.D, Obstetrics & Gynecology Medicare: May Accept Medicare Assignments Practice Location: 3025 N Tarrant Pkwy Ste 150, Fort Worth, TX 76177 Phone: 817-416-2229 Fax: 817-416-3667

Gennady G Miroshnichenko, MD - Medicare Gynecological Oncology in Fort Worth, TX