Bryant T Ittiara, DO - Medicare Pain Management in Allen Park, MI

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Bryant T Ittiara, DO is a medicare enrolled "Pain Medicine - Interventional Pain Medicine" physician in Allen Park, Michigan. He went to Lake Erie College Of Osteopathic Medicine, Erie and graduated in 2008 and has 16 years of diverse experience with area of expertise as Pain Management. He is a member of the group practice Neurological Institute Of Interventional Pain Management Pllc and his current practice location is 18707 Ecorse Rd, Allen Park, Michigan. You can reach out to his office (for appointments etc.) via phone at (734) 682-3309.

Bryant T Ittiara is licensed to practice in Michigan (license number 5101017919) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1871829069.

Contact Information

Bryant T Ittiara, DO
18707 Ecorse Rd,
Allen Park, MI 48101-2255
(734) 682-3309
(734) 682-1488

Map and Direction




Physician's Profile

Full NameBryant T Ittiara
GenderMale
SpecialityPain Management
Experience16 Years
Location18707 Ecorse Rd, Allen Park, Michigan
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Bryant T Ittiara attended and graduated from Lake Erie College Of Osteopathic Medicine, Erie in 2008
  NPI Data:
  • NPI Number: 1871829069
  • Provider Enumeration Date: 10/23/2009
  • Last Update Date: 01/07/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 3971747908
  • Enrollment ID: I20131003000541

Medical Identifiers

Medical identifiers for Bryant T Ittiara such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1871829069NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207L00000XAnesthesiology L1593593 (Michigan)Secondary
207LP2900XAnesthesiology - Pain Medicine 5101017919 (Michigan)Secondary
208VP0014XPain Medicine - Interventional Pain Medicine 5101017919 (Michigan)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Neurological Institute Of Interventional Pain Management Pllc21636436692

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. Bryant T Ittiara allows following entities to bill medicare on his behalf.
Entity NameAmbulatory Anesthesia Associates Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952350555
PECOS PAC ID: 5092729020
Enrollment ID: O20060130000526
Entity NameNeurological Institute Of Interventional Pain Management Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427462597
PECOS PAC ID: 2163643669
Enrollment ID: O20141027001962

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. Bryant T Ittiara 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 AddressPractice Location Address
Bryant T Ittiara, DO
416 James Cir,
Royal Oak, MI 48067-4545

Ph: (734) 604-0017		Bryant T Ittiara, DO
18707 Ecorse Rd,
Allen Park, MI 48101-2255

Ph: (734) 682-3309

Reviews and Comments


Pain Medicine Doctors in Allen Park, MI


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.