Imara-safi Olu Scott, MD is a medicare enrolled "Dermatology" physician in West Islip, New York. Her current practice location is
1253 Montauk Hwy, West Islip, New York. You can reach out to her office (for appointments etc.) via phone at
(631) 665-3376.
Imara-safi Olu Scott is licensed to practice in New York (license number 318278) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1053801001.
Physician's Profile
| Full Name | Imara-safi Olu Scott |
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| Gender | Female |
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| Speciality | Dermatology |
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| Location | 1253 Montauk Hwy, West Islip, 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: 1053801001
- Provider Enumeration Date: 05/15/2018
- Last Update Date: 08/11/2022
Medicare PECOS Information:
- PECOS PAC ID: 8729338371
- Enrollment ID: I20221003001431
Medical Identifiers
Medical identifiers for Imara-safi Olu Scott such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1053801001 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207N00000X | Dermatology | 318278 (New York) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
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. Imara-safi Olu Scott allows following entities to bill medicare on her behalf.
| Entity Name | Mariwalla Dermatology Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1891094322
PECOS PAC ID: 5799962676
Enrollment ID: O20110601000420 |
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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. Imara-safi Olu Scott 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 |
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Imara-safi Olu Scott, MD
1253 Montauk Hwy,
West Islip, NY 11795-4916
Ph: (631) 665-3376 | Imara-safi Olu Scott, MD
1253 Montauk Hwy,
West Islip, NY 11795-4916
Ph: (631) 665-3376 |
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