Mikhail Vydrin, MD - Medicare Neurology in Worcester, MA

Mikhail Vydrin, MD is a medicare enrolled "Psychiatry & Neurology - Neurology" physician in Worcester, Massachusetts. He graduated from medical school in 1972 and has 52 years of diverse experience with area of expertise as Neurology. He is a member of the group practice Umass Memorial Medical Group Inc and his current practice location is 55 Lake Ave N, Department Of Neurology, Worcester, Massachusetts. You can reach out to his office (for appointments etc.) via phone at (508) 334-2527.

Mikhail Vydrin is licensed to practice in Massachusetts (license number 153858) 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 1972588077.

Contact Information

Mikhail Vydrin, MD
55 Lake Ave N, Department Of Neurology,
Worcester, MA 01655-0002
(508) 334-2527
(508) 334-6778

Map and Direction




Physician's Profile

Full NameMikhail Vydrin
GenderMale
SpecialityNeurology
Experience52 Years
Location55 Lake Ave N, Worcester, Massachusetts
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mikhail Vydrin graduated from medical school in 1972
  NPI Data:
  • NPI Number: 1972588077
  • Provider Enumeration Date: 12/12/2005
  • Last Update Date: 12/15/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 3678659802
  • Enrollment ID: I20080327000532

Medical Identifiers

Medical identifiers for Mikhail Vydrin such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1972588077NPI-NPPES
3171965MedicaidMA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084S0012XPsychiatry & Neurology - Sleep Medicine 153858 (Massachusetts)Secondary
2084N0400XPsychiatry & Neurology - Neurology 153858 (Massachusetts)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Umass Memorial Medical Center/university CampusWorcester, MAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Umass Memorial Medical Group Inc42845398911898

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. Mikhail Vydrin allows following entities to bill medicare on his behalf.
Entity NameUmass Memorial Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760445373
PECOS PAC ID: 4284539891
Enrollment ID: O20040113000267

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. Mikhail Vydrin 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 AddressPractice Location Address
Mikhail Vydrin, MD
Po Box 415348,
Boston, MA 02241-5348

Ph: () -
Mikhail Vydrin, MD
55 Lake Ave N, Department Of Neurology,
Worcester, MA 01655-0002

Ph: (508) 334-2527

Reviews and Comments


Psychiatry & Neurology Doctors in Worcester, MA

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Dr. David R Bowman, M.D.
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Phone: 774-443-2761    Fax: 774-442-1899
Julie Lynn West,
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Daniel J. Kirsch, M.D.
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Phone: 508-334-2537    Fax: 508-334-3000

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.