Dr Doran S Mix, MD is a medicare enrolled "Surgery - Vascular Surgery" in Rochester, New York. He graduated from nursing school in 2013 and has 11 years of diverse experience with area of expertise as Vascular Surgery. He is a member of the group practice Vascular Surgery Of The University and his current practice location is
601 Elmwood Ave, Box 652, Rochester, New York. You can reach out to his office (for appointments etc.) via phone at
(585) 275-6772.
Dr Doran S Mix is licensed to practice in Minnesota (license number 65742) 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 1750622726.
Provider's Profile
Full Name | Dr Doran S Mix |
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Gender | Male |
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Speciality | Vascular Surgery |
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Experience | 11 Years |
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Location | 601 Elmwood Ave, Rochester, New York |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Dr Doran S Mix graduated from nursing school in 2013
NPI Data:
- NPI Number: 1750622726
- Provider Enumeration Date: 03/15/2013
- Last Update Date: 07/07/2023
Medicare PECOS Information:
- PECOS PAC ID: 3678872199
- Enrollment ID: I20190619002618
Medical Identifiers
Medical identifiers for Dr Doran S Mix such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1750622726 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | 280161 (New York) | Secondary |
2086S0129X | Surgery - Vascular Surgery | 65742 (Minnesota) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Vascular Surgery Of The University | 1850333725 | 17 |
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. Dr Doran S Mix allows following entities to bill medicare on his behalf.
Entity Name | Vascular Surgery Of The University |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1053332189 PECOS PAC ID: 1850333725 Enrollment ID: O20050601000836 |
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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. Dr Doran S Mix 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 |
Dr Doran S Mix, MD 601 Elmwood Ave, Rochester, NY 14642-0001 Ph: () - | Dr Doran S Mix, MD 601 Elmwood Ave, Box 652, Rochester, NY 14642-0001 Ph: (585) 275-6772 |
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