Miroslav Ilieff, in Gilbert, AZ - Medicare Nurse Practitioner

Miroslav Ilieff, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Gilbert, Arizona. His current practice location is 2438 E Ivanhoe Ct, Gilbert, Arizona. You can reach out to his office (for appointments etc.) via phone at (480) 789-2525.

Miroslav Ilieff is licensed to practice in Arizona (license number 252592) 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 1720663644.

Contact Information

	Miroslav Ilieff,
	2438 E Ivanhoe Ct, Gilbert, AZ 85295-9021
	(480) 789-2525
	Not Available

Map and Direction

Provider's Profile

Full Name	Miroslav Ilieff
Gender	Male
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	2438 E Ivanhoe Ct, Gilbert, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1720663644
Provider Enumeration Date: 03/11/2021
Last Update Date: 05/16/2023

Medicare PECOS Information:

PECOS PAC ID: 9133537632
Enrollment ID: I20210422000694

Medical Identifiers

Medical identifiers for Miroslav Ilieff such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1720663644	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	252592 (Arizona)	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. Miroslav Ilieff allows following entities to bill medicare on his behalf.

Entity Name	Denova Collaborative Health, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609300854 PECOS PAC ID: 2466437736 Enrollment ID: O20040621001542

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. Miroslav Ilieff 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
Miroslav Ilieff, 4001 E Baseline Rd Ste 204, Gilbert, AZ 85234-2743 Ph: (480) 565-6440	Miroslav Ilieff, 2438 E Ivanhoe Ct, Gilbert, AZ 85295-9021 Ph: (480) 789-2525

Reviews and Comments

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Miroslav Ilieff, - Medicare Nurse Practitioner in Gilbert, AZ