Dmitry A Isaev, CRNP in Philadelphia, PA - Medicare Nurse Practitioner

Dmitry A Isaev, CRNP is a medicare enrolled "Nurse Practitioner - Gerontology" in Philadelphia, Pennsylvania. His current practice location is 333 Cottman Ave, Philadelphia, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (215) 728-6900.

Dmitry A Isaev is licensed to practice in Pennsylvania (license number SP015788) 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 1194182287.

Contact Information

	Dmitry A Isaev, CRNP
	333 Cottman Ave, Philadelphia, PA 19111-2434
	(215) 728-6900
	(215) 214-4044

Map and Direction

Provider's Profile

Full Name	Dmitry A Isaev
Gender	Male
Speciality	Nurse Practitioner - Gerontology
Location	333 Cottman Ave, Philadelphia, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1194182287
Provider Enumeration Date: 01/21/2016
Last Update Date: 05/25/2021

Medicare PECOS Information:

PECOS PAC ID: 3274824610
Enrollment ID: I20170109000572

Medical Identifiers

Medical identifiers for Dmitry A Isaev such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1194182287	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LG0600X	Nurse Practitioner - Gerontology	SP015788 (Pennsylvania)	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. Dmitry A Isaev allows following entities to bill medicare on his behalf.

Entity Name	Trinity Health Mid-atlantic Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093771271 PECOS PAC ID: 7416861885 Enrollment ID: O20040326000613

Entity Name	Fox Chase Cancer Center Medical Group, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396019444 PECOS PAC ID: 8123289550 Enrollment ID: O20120412000054

Entity Name	University Of Penn-medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1235527342 PECOS PAC ID: 6204730955 Enrollment ID: O20141111000091

Entity Name	Temple Faculty Practice Plan Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881176949 PECOS PAC ID: 0345588711 Enrollment ID: O20190208002623

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. Dmitry A Isaev 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
Dmitry A Isaev, CRNP 41 University Dr Ste 300, Newtown, PA 18940-1873 Ph: (215) 710-5522	Dmitry A Isaev, CRNP 333 Cottman Ave, Philadelphia, PA 19111-2434 Ph: (215) 728-6900

Reviews and Comments

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Dmitry A Isaev, CRNP - Medicare Nurse Practitioner in Philadelphia, PA