Dr Edward Vinnikov, is a medicare enrolled "Chiropractor" provider in Warren, New Jersey. His current practice location is
6 Crosswood Way, Warren, New Jersey. You can reach out to his office (for appointments etc.) via phone at
(646) 705-3506.
Dr Edward Vinnikov is licensed to practice in Connecticut (license number 2176) 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 1932714805.
Healthcare Provider's Profile
| Full Name | Dr Edward Vinnikov |
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| Gender | Male |
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| Speciality | Chiropractor |
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| Location | 6 Crosswood Way, Warren, New Jersey |
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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: 1932714805
- Provider Enumeration Date: 09/09/2020
- Last Update Date: 05/09/2022
Medicare PECOS Information:
- PECOS PAC ID: 9436542230
- Enrollment ID: I20220131000039
Medical Identifiers
Medical identifiers for Dr Edward Vinnikov such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1932714805 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 171100000X | Acupuncturist | 25MZ00156700 (New Jersey) | Secondary |
| 111N00000X | Chiropractor | 2176 (Connecticut) | 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 Edward Vinnikov allows following entities to bill medicare on his behalf.
| Provider Name | The Spine And Health Center Of Montvale |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1205085024 PECOS PAC ID: 8224195847 Enrollment ID: O20090326000422 |
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| Provider Name | Spine And Health Center Of Closter Pc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1497291728 PECOS PAC ID: 7214209030 Enrollment ID: O20170814003015 |
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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 Edward Vinnikov 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 Edward Vinnikov, 6 Crosswood Way, Warren, NJ 07059-6785 Ph: (646) 705-3506 | Dr Edward Vinnikov, 6 Crosswood Way, Warren, NJ 07059-6785 Ph: (646) 705-3506 |
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