Ivan Golub, is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Boston, Massachusetts. His current practice location is
55 Fruit St, Boston, Massachusetts. You can reach out to his office (for appointments etc.) via phone at
(617) 726-9111.
Ivan Golub is licensed to practice in * (Not Available) (license number ) 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 1063974996.
Physician's Profile
Full Name | Ivan Golub |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 55 Fruit St, Boston, Massachusetts |
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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: 1063974996
- Provider Enumeration Date: 04/01/2019
- Last Update Date: 05/29/2024
Medicare PECOS Information:
- PECOS PAC ID: 4880924794
- Enrollment ID: I20190919000515
Medical Identifiers
Medical identifiers for Ivan Golub such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1063974996 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207X00000X | Orthopaedic Surgery | 1018314 (Massachusetts) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
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. Ivan Golub 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 |
Ivan Golub, Maimonides Medical Center, 4802 10th Ave, Brooklyn, NY 11219 Ph: () - | Ivan Golub, 55 Fruit St, Boston, MA 02114-2621 Ph: (617) 726-9111 |
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