Stephen Belmustakov, is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Apartment 543, Maryland. His current practice location is
101 N Wolfe St, Jefferson Square Apartments, Apartment 543, Maryland. You can reach out to his office (for appointments etc.) via phone at
(630) 956-0616.
Stephen Belmustakov is licensed to practice in Nevada (license number 26046) 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 1538525225.
Physician's Profile
Full Name | Stephen Belmustakov |
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Gender | Male |
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Speciality | Radiology - Diagnostic Radiology |
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Location | 101 N Wolfe St, Apartment 543, Maryland |
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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: 1538525225
- Provider Enumeration Date: 01/11/2016
- Last Update Date: 10/17/2024
Medicare PECOS Information:
- PECOS PAC ID: 8729519665
- Enrollment ID: I20241003000842
Medical Identifiers
Medical identifiers for Stephen Belmustakov such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1538525225 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2085R0202X | Radiology - Diagnostic Radiology | 26046 (Nevada) | 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. Stephen Belmustakov allows following entities to bill medicare on his behalf.
Entity Name | Pueblo Medical Imaging Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1952353591 PECOS PAC ID: 2264328319 Enrollment ID: O20241003000790 |
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Entity Name | J Paul Wiesner & Associates Chartered |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1487606026 PECOS PAC ID: 4880679976 Enrollment ID: O20241003001174 |
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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. Stephen Belmustakov 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 |
Stephen Belmustakov, 450 58th Pl, Hinsdale, IL 60521-4982 Ph: () - | Stephen Belmustakov, 101 N Wolfe St, Jefferson Square Apartments, Apartment 543, MD 21205 Ph: (630) 956-0616 |
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