Dr Grigoriy N Patish, DPM is a medicare enrolled "Podiatrist - Primary Podiatric Medicine" provider in Fallbrook, California. He went to New York College Of Podiatric Medicine and graduated in 2002 and has 22 years of diverse experience with area of expertise as Podiatry. He is a member of the group practice Grace Ting Dpm Inc and his current practice location is
407 Potter St Ste A, Fallbrook, California. You can reach out to his office (for appointments etc.) via phone at
(760) 728-4800.
Dr Grigoriy N Patish is licensed to practice in California (license number E4987) 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 1609817535.
Healthcare Provider's Profile
| Full Name | Dr Grigoriy N Patish |
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| Gender | Male |
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| Speciality | Podiatry |
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| Experience | 22 Years |
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| Location | 407 Potter St Ste A, Fallbrook, California |
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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. |
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Medical Education and Training:
- Dr Grigoriy N Patish attended and graduated from New York College Of Podiatric Medicine in 2002
NPI Data:
- NPI Number: 1609817535
- Provider Enumeration Date: 06/10/2006
- Last Update Date: 03/31/2021
Medicare PECOS Information:
- PECOS PAC ID: 6709778616
- Enrollment ID: I20120913000318
Medical Identifiers
Medical identifiers for Dr Grigoriy N Patish such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1609817535 | NPI | - | NPPES |
| 02639412 | Medicaid | NY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 213E00000X | Podiatrist | N005980 (New York) | Secondary |
| 213E00000X | Podiatrist | 25MD00298800 (New Jersey) | Secondary |
| 213EP1101X | Podiatrist - Primary Podiatric Medicine | E4987 (California) | 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. Dr Grigoriy N Patish allows following entities to bill medicare on his behalf.
| Provider Name | Grace Ting Dpm Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1245266576
PECOS PAC ID: 9830146950
Enrollment ID: O20050331001030 |
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| Provider Name | Fallbrook Podiatry Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1861825523
PECOS PAC ID: 1153556840
Enrollment ID: O20131105002012 |
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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 Grigoriy N Patish 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 |
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Dr Grigoriy N Patish, DPM
407 Potter St Ste A,
Fallbrook, CA 92028-3086
Ph: (760) 728-4800 | Dr Grigoriy N Patish, DPM
407 Potter St Ste A,
Fallbrook, CA 92028-3086
Ph: (760) 728-4800 |
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