Mr Itzhak Medan, MD is a medicare enrolled "General Practice" physician in Richboro, Pennsylvania. His current practice location is
151 Carol Ln, Richboro, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at
(443) 676-2585.
Mr Itzhak Medan is licensed to practice in New York (license number 231274-1) 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 1346485745.
Physician's Profile
Full Name | Mr Itzhak Medan |
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Gender | Male |
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Speciality | General Practice |
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Location | 151 Carol Ln, Richboro, Pennsylvania |
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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: 1346485745
- Provider Enumeration Date: 12/13/2008
- Last Update Date: 08/31/2017
Medicare PECOS Information:
- PECOS PAC ID: 9436383858
- Enrollment ID: I20170828000214
Medical Identifiers
Medical identifiers for Mr Itzhak Medan such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1346485745 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208D00000X | General Practice | 231274-1 (New York) | Primary |
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. Mr Itzhak Medan allows following entities to bill medicare on his behalf.
Entity Name | Ahava Medical And Rehabilitation Center, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1184878274 PECOS PAC ID: 1557416997 Enrollment ID: O20090908000443 |
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Entity Name | Eyes & Optics Lincoln Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1649418344 PECOS PAC ID: 7416345038 Enrollment ID: O20211101000025 |
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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. Mr Itzhak Medan 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 |
Mr Itzhak Medan, MD 505 Nostrand Ave, Brooklyn, NY 11216-2015 Ph: (718) 622-4444 | Mr Itzhak Medan, MD 151 Carol Ln, Richboro, PA 18954-1307 Ph: (443) 676-2585 |
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