Dewitt Pyburn, MD in New York, NY - Medicare General Practice

Dewitt Pyburn, MD is a medicare enrolled "General Practice" physician in New York, New York. He went to Louisiana State University School Of Medicine In Shreveport and graduated in 1990 and has 34 years of diverse experience with area of expertise as General Practice. He is a member of the group practice Icahn School Of Medicine At Mount Sinai and his current practice location is 10 Union Sq E, New York, New York. You can reach out to his office (for appointments etc.) via phone at (212) 844-8888.

Dewitt Pyburn is licensed to practice in New York (license number 197403) 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 1912998428.

Contact Information

	Dewitt Pyburn, MD
	10 Union Sq E, New York, NY 10003-3314
	(212) 844-8888
	Not Available

Map and Direction

Physician's Profile

Full Name	Dewitt Pyburn
Gender	Male
Speciality	General Practice
Experience	34 Years
Location	10 Union Sq E, New York, 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:

Dewitt Pyburn attended and graduated from Louisiana State University School Of Medicine In Shreveport in 1990

NPI Data:

NPI Number: 1912998428
Provider Enumeration Date: 11/03/2005
Last Update Date: 06/04/2014

Medicare PECOS Information:

PECOS PAC ID: 6608971684
Enrollment ID: I20070419000539

Medical Identifiers

Medical identifiers for Dewitt Pyburn such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1912998428	NPI	-	NPPES
01783619	Medicaid	NY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208D00000X	General Practice	197403 (New York)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Mount Sinai St Luke's Roosevelt Hospital	New york, NY	Hospital
Mount Sinai Beth Israel	New york, NY	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Icahn School Of Medicine At Mount Sinai	2264691070	2339

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. Dewitt Pyburn allows following entities to bill medicare on his behalf.

Entity Name	Bimc Faculty Practice
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1548594203 PECOS PAC ID: 5799888392 Enrollment ID: O20070320000596

Entity Name	Icahn School Of Medicine At Mount Sinai
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558627844 PECOS PAC ID: 2264691070 Enrollment ID: O20120724000505

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. Dewitt Pyburn 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
Dewitt Pyburn, MD Po Box 5806, New York, NY 10087-5806 Ph: (212) 256-3539	Dewitt Pyburn, MD 10 Union Sq E, New York, NY 10003-3314 Ph: (212) 844-8888

Reviews and Comments

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Dewitt Pyburn, MD - Medicare General Practice in New York, NY