Dr Jesse Aiden Mytinger, DPM is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" provider in Vandergrift, Pennsylvania. His current practice location is
127 Columbia Ave, Vandergrift, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at
(724) 567-7520.
Dr Jesse Aiden Mytinger is licensed to practice in Pennsylvania (license number SC005745) 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 1821071382.
Healthcare Provider's Profile
| Full Name | Dr Jesse Aiden Mytinger |
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| Gender | Male |
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| Speciality | Podiatrist - Foot & Ankle Surgery |
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| Location | 127 Columbia Ave, Vandergrift, Pennsylvania |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1821071382
- Provider Enumeration Date: 11/29/2005
- Last Update Date: 12/17/2012
Medicare PECOS Information:
- PECOS PAC ID: 0840231619
- Enrollment ID: I20050523000147
Medical Identifiers
Medical identifiers for Dr Jesse Aiden Mytinger such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1821071382 | NPI | - | NPPES |
| 1013170390001 | Medicaid | PA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 213ES0103X | Podiatrist - Foot & Ankle Surgery | SC005745 (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. Dr Jesse Aiden Mytinger allows following entities to bill medicare on his behalf.
| Provider Name | Jeffery S Nigro |
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| Provider Type | Practitioner - Podiatry |
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| Provider Identifiers | NPI Number: 1366428872
PECOS PAC ID: 2668585985
Enrollment ID: I20110103000883 |
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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 Jesse Aiden Mytinger 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 Jesse Aiden Mytinger, DPM
1601 Union Ave, Suite B,
Natrona Heights, PA 15065-2133
Ph: (724) 226-0544 | Dr Jesse Aiden Mytinger, DPM
127 Columbia Ave,
Vandergrift, PA 15690-1101
Ph: (724) 567-7520 |
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