Albert V Bystritski, MD is a medicare enrolled "Emergency Medicine" physician in Winchester, Tennessee. His current practice location is
185 Hospital Rd, Winchester, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(931) 967-8200.
Albert V Bystritski is licensed to practice in Tennessee (license number 37369) 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 1518907609.
Physician's Profile
| Full Name | Albert V Bystritski |
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| Gender | Male |
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| Speciality | Emergency Medicine |
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| Location | 185 Hospital Rd, Winchester, Tennessee |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1518907609
- Provider Enumeration Date: 06/07/2006
- Last Update Date: 11/06/2007
Medicare PECOS Information:
- PECOS PAC ID: 0143252874
- Enrollment ID: I20050902000155
Medical Identifiers
Medical identifiers for Albert V Bystritski such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1518907609 | NPI | - | NPPES |
| 3886530 | Medicaid | TN | |
| 3886531 | Medicaid | TN | |
| 4063780 | Other | TN | BLUE CROSS |
| 4149683 | Other | TN | BLUE CROSS |
| P00305958 | Other | TN | MEDICARE RAILROAD |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207P00000X | Emergency Medicine | 37369 (Tennessee) | 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. Albert V Bystritski allows following entities to bill medicare on his behalf.
| Entity Name | Southeastern Emergency Physicians Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1356379382
PECOS PAC ID: 2466364997
Enrollment ID: O20050125000997 |
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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. Albert V Bystritski 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 |
|---|
Albert V Bystritski, MD
Po Box 634706,
Cincinnati, OH 45263-0001
Ph: () - | Albert V Bystritski, MD
185 Hospital Rd,
Winchester, TN 37398-2404
Ph: (931) 967-8200 |
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