Dr David Michael Lustig, MD is a medicare enrolled "Urology" physician in Dade City, Florida. His current practice location is
13933 17th St, Suite 201, Dade City, Florida. You can reach out to his office (for appointments etc.) via phone at
(352) 437-4505.
Dr David Michael Lustig is licensed to practice in Florida (license number ME 128530) 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 1093896367.
Physician's Profile
| Full Name | Dr David Michael Lustig |
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| Gender | Male |
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| Speciality | Urology |
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| Location | 13933 17th St, Dade City, Florida |
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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: 1093896367
- Provider Enumeration Date: 10/17/2006
- Last Update Date: 02/01/2017
Medicare PECOS Information:
- PECOS PAC ID: 3870632672
- Enrollment ID: I20161130000790
Medical Identifiers
Medical identifiers for Dr David Michael Lustig such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1093896367 | NPI | - | NPPES |
| 340018922 | Other | GA | RAILROAD MEDICARE |
| 434494 | Other | VA | ANTHEM |
| 542025035 | Other | VA | TRICARE |
| 7503962 | Other | VA | VIRGINIA PREMIER |
| 0380470 | Other | VI | CIGNA |
| 3433588 | Other | VA | AETNA |
| 2127380 | Other | VA | MDIPA |
| 007503962 | Medicaid | VA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208800000X | Urology | ME 128530 (Florida) | 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 David Michael Lustig allows following entities to bill medicare on his behalf.
| Entity Name | Central Florida Cancer Institute Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1306870092
PECOS PAC ID: 5193612778
Enrollment ID: O20040228000391 |
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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 David Michael Lustig 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 David Michael Lustig, MD
13933 17th St, Suite 201,
Dade City, FL 33525-4604
Ph: (352) 437-4505 | Dr David Michael Lustig, MD
13933 17th St, Suite 201,
Dade City, FL 33525-4604
Ph: (352) 437-4505 |
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