Elijah Diing Dut, FNP in Syracuse, NY - Medicare Nurse Practitioner

Elijah Diing Dut, FNP is a medicare enrolled "Nurse Practitioner - Family" in Syracuse, New York. He graduated from nursing school in 2012 and has 12 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice St Josephs Medical Pc and his current practice location is 945 E Genesee St Ste 200, Syracuse, New York. You can reach out to his office (for appointments etc.) via phone at (315) 475-8401.

Elijah Diing Dut is licensed to practice in New York (license number F337380-1) 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 1982956868.

Contact Information

	Elijah Diing Dut, FNP
	945 E Genesee St Ste 200, Syracuse, NY 13210-1752
	(315) 475-8401
	Not Available

Map and Direction

Provider's Profile

Full Name	Elijah Diing Dut
Gender	Male
Speciality	Nurse Practitioner
Experience	12 Years
Location	945 E Genesee St Ste 200, Syracuse, New York
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:

Elijah Diing Dut graduated from nursing school in 2012

NPI Data:

NPI Number: 1982956868
Provider Enumeration Date: 10/03/2012
Last Update Date: 10/03/2012

Medicare PECOS Information:

PECOS PAC ID: 5193976124
Enrollment ID: I20121121000138

Medical Identifiers

Medical identifiers for Elijah Diing Dut such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1982956868	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	F337380-1 (New York)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
St Joseph's Hospital Health Center	Syracuse, NY	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
St Josephs Medical Pc	4688855844	300

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. Elijah Diing Dut allows following entities to bill medicare on his behalf.

Entity Name	St Josephs Hospital Health Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1508815333 PECOS PAC ID: 9234043324 Enrollment ID: O20031113000400

Entity Name	Pulmonary Health Physicians Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063450484 PECOS PAC ID: 3375430630 Enrollment ID: O20060811000449

Entity Name	St Josephs Medical Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942501747 PECOS PAC ID: 4688855844 Enrollment ID: O20110221000744

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. Elijah Diing Dut 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
Elijah Diing Dut, FNP 110 Edtim Rd Apt 4, Syracuse, NY 13206-2710 Ph: (135) 278-1367	Elijah Diing Dut, FNP 945 E Genesee St Ste 200, Syracuse, NY 13210-1752 Ph: (315) 475-8401

Reviews and Comments

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Michele Rene Mcdonald, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 800 Irving Ave, Syracuse, NY 13210 Phone: 315-425-4400
Nicole Marie Voudren, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 750 E Adams St, Syracuse, NY 13210 Phone: 315-254-6914 Fax: 315-464-8524
Mary Jean Thomas, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 736 Irving Ave, Syracuse, NY 13210 Phone: 315-470-7111
Frances I Swiecki, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 90 Presidential Plz, 5th Floor, Syracuse, NY 13202 Phone: 315-464-9335 Fax: 315-464-9338

Elijah Diing Dut, FNP - Medicare Nurse Practitioner in Syracuse, NY