Mazen S Itani, MD is a medicare enrolled "Surgery" physician in Flanders, New Jersey. He graduated from medical school in 1996 and has 28 years of diverse experience with area of expertise as General Surgery. His current practice location is
183 Us Highway 206 Ste 2, Flanders, New Jersey. You can reach out to his office (for appointments etc.) via phone at
(973) 705-7202.
Mazen S Itani is licensed to practice in New Jersey (license number 25MA08075500) 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 1770555930.
Physician's Profile
Full Name | Mazen S Itani |
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Gender | Male |
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Speciality | General Surgery |
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Experience | 28 Years |
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Location | 183 Us Highway 206 Ste 2, Flanders, New Jersey |
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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:
- Mazen S Itani graduated from medical school in 1996
NPI Data:
- NPI Number: 1770555930
- Provider Enumeration Date: 02/02/2006
- Last Update Date: 01/19/2021
Medicare PECOS Information:
- PECOS PAC ID: 1355369158
- Enrollment ID: I20070205000104
Medical Identifiers
Medical identifiers for Mazen S Itani such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1770555930 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2085R0204X | Radiology - Vascular & Interventional Radiology | 25MA08075500 (New Jersey) | Secondary |
2086S0129X | Surgery - Vascular Surgery | 25MA08075500 (New Jersey) | Secondary |
208600000X | Surgery | 25MA08075500 (New Jersey) | Primary |
Medical Facilities Affiliation
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. Mazen S Itani allows following entities to bill medicare on his behalf.
Entity Name | Mazen Itani Md Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1821186586 PECOS PAC ID: 4587766878 Enrollment ID: O20070216000056 |
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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. Mazen S Itani 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 |
Mazen S Itani, MD 62 Crestview Rd, Mountain Lakes, NJ 07046-1224 Ph: (973) 705-7202 | Mazen S Itani, MD 183 Us Highway 206 Ste 2, Flanders, NJ 07836 Ph: (973) 705-7202 |
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