Rutvi Harshadbhai Vyas, is a medicare enrolled "Student In An Organized Health Care Education/training Program" provider in Detroit, Michigan. Her current practice location is
2700 Martin Luther King Jr Blvd, Detroit, Michigan. You can reach out to her office (for appointments etc.) via phone at
(732) 306-5109.
Rutvi Harshadbhai Vyas is licensed to practice in Michigan (license number 2901602094) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1487252573.
Healthcare Provider's Profile
| Full Name | Rutvi Harshadbhai Vyas |
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| Gender | Female |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 2700 Martin Luther King Jr Blvd, Detroit, Michigan |
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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: 1487252573
- Provider Enumeration Date: 10/12/2020
- Last Update Date: 08/29/2024
Medicare PECOS Information:
- PECOS PAC ID: 7911327747
- Enrollment ID: I20201016002279
Medical Identifiers
Medical identifiers for Rutvi Harshadbhai Vyas such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1487252573 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 1223X0008X | Dentist - Oral And Maxillofacial Radiology | DTP718 (Florida) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | 2901602094 (Michigan) | 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. Rutvi Harshadbhai Vyas allows following entities to bill medicare on her behalf.
| Entity Name | Florida Clinical Practice Association Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1063463768 PECOS PAC ID: 0345146254 Enrollment ID: O20031211000099 |
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| Entity Name | Faculty Associates Incorporated |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1255383550 PECOS PAC ID: 4981707460 Enrollment ID: O20070322000013 |
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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. Rutvi Harshadbhai Vyas 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 |
Rutvi Harshadbhai Vyas, 19835 Ashley Ct, Livonia, MI 48152-4027 Ph: (732) 306-5109 | Rutvi Harshadbhai Vyas, 2700 Martin Luther King Jr Blvd, Detroit, MI 48208-2576 Ph: (732) 306-5109 |
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