Dr Mitchell S Mednick, DO is a medicare enrolled "Neuromusculoskeletal Medicine & Omm" physician in Philadelphia, Pennsylvania. His current practice location is
1514 E Moyamensing Ave, Philadelphia, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at
(615) 345-5400.
Dr Mitchell S Mednick is licensed to practice in Pennsylvania (license number OS006362E) 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 1164648846.
Physician's Profile
Full Name | Dr Mitchell S Mednick |
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Gender | Male |
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Speciality | Neuromusculoskeletal Medicine & Omm |
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Location | 1514 E Moyamensing Ave, Philadelphia, Pennsylvania |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1164648846
- Provider Enumeration Date: 04/18/2007
- Last Update Date: 08/13/2018
Medicare PECOS Information:
- PECOS PAC ID: 4587848379
- Enrollment ID: I20110401000381
Medical Identifiers
Medical identifiers for Dr Mitchell S Mednick such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1164648846 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208VP0000X | Pain Medicine - Pain Medicine | 0S006362E (Pennsylvania) | Secondary |
204D00000X | Neuromusculoskeletal Medicine & Omm | OS006362E (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 Mitchell S Mednick allows following entities to bill medicare on his behalf.
Entity Name | Sentient Physicians Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1306204805 PECOS PAC ID: 2668764333 Enrollment ID: O20170214001560 |
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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 Mitchell S Mednick 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 Mitchell S Mednick, DO 3 Maryland Farms Ste 200, Brentwood, TN 37027-5005 Ph: (615) 345-5400 | Dr Mitchell S Mednick, DO 1514 E Moyamensing Ave, Philadelphia, PA 19147 Ph: (615) 345-5400 |
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