Otar Michael Taktakishvili, MD - Medicare Emergency Medicine in Mineola, NY

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Otar Michael Taktakishvili, MD is a medicare enrolled "Emergency Medicine" physician in Mineola, New York. His current practice location is 259 1st St, Emergency Department, Mineola, New York. You can reach out to his office (for appointments etc.) via phone at (516) 663-2727.

Otar Michael Taktakishvili is licensed to practice in Connecticut (license number 054323) 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 1346407129.

Contact Information

Otar Michael Taktakishvili, MD
259 1st St, Emergency Department,
Mineola, NY 11501-3957
(516) 663-2727
(516) 663-2727

Map and Direction




Physician's Profile

Full NameOtar Michael Taktakishvili
GenderMale
SpecialityEmergency Medicine
Location259 1st St, Mineola, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1346407129
  • Provider Enumeration Date: 05/20/2008
  • Last Update Date: 08/19/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 9638356140
  • Enrollment ID: I20151029001788

Medical Identifiers

Medical identifiers for Otar Michael Taktakishvili such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1346407129NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 054323 (Connecticut)Primary
207P00000XEmergency Medicine 260699 (New York)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. Otar Michael Taktakishvili allows following entities to bill medicare on his behalf.
Entity NameDanbury Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548293343
PECOS PAC ID: 1557273935
Enrollment ID: O20031104000476
Entity NameNuvance Health Medical Practice Ct Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407898117
PECOS PAC ID: 4789597691
Enrollment ID: O20031205000130
Entity NameNorwalk Hospital Association
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427041581
PECOS PAC ID: 3375436660
Enrollment ID: O20040202000988

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. Otar Michael Taktakishvili 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
Otar Michael Taktakishvili, MD
259 1st St, Emergency Department,
Mineola, NY 11501-3957

Ph: (516) 663-2727		Otar Michael Taktakishvili, MD
259 1st St, Emergency Department,
Mineola, NY 11501-3957

Ph: (516) 663-2727

Reviews and Comments


Emergency Medicine Doctors in Mineola, NY

Dr. Heather A Posillico, DO
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 259 First Street, Emergency Department, Mineola, NY 11501
Phone: 516-663-2211    
Dr. Martin S. Kohn, MD
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 259 1st St, Mineola, NY 11501
Phone: 516-663-2727    Fax: 516-663-8549
Dr. Edward Mintz, M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 259 1st St, Mineola, NY 11501
Phone: 516-663-2727    Fax: 516-663-8549
Scott A. Gorenstein, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 120 Mineola Blvd, Suite 360, Mineola, NY 11501
Phone: 516-663-8498    Fax: 516-663-9765
Dr. Kenneth Steinberg, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 292 Herricks Rd, Mineola, NY 11501
Phone: 516-294-8910    Fax: 516-294-4009
Mrs. Jane Avella, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 292 Herricks Rd, Mineola, NY 11501
Phone: 516-294-8910    Fax: 516-294-4009
Jessica Leigh Harmon, M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 259 1st St, Mineola, NY 11501
Phone: 516-663-2211    

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.