Dr Dennis John Tishko, MD is a medicare enrolled "Thoracic Surgery (cardiothoracic Vascular Surgery)" physician in Altamonte Springs, Florida. He went to University Of Cincinnati College Of Medicine and graduated in 1983 and has 41 years of diverse experience with area of expertise as Thoracic Surgery. He is a member of the group practice North Brevard Medical Support Inc and his current practice location is
661 E Altamonte Dr Ste 324, Altamonte Springs, Florida. You can reach out to his office (for appointments etc.) via phone at
(407) 845-8354.
Dr Dennis John Tishko is licensed to practice in Florida (license number ME117435) 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 1174591598.
Physician's Profile
| Full Name | Dr Dennis John Tishko |
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| Gender | Male |
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| Speciality | Thoracic Surgery |
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| Experience | 41 Years |
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| Location | 661 E Altamonte Dr Ste 324, Altamonte Springs, Florida |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Dennis John Tishko attended and graduated from University Of Cincinnati College Of Medicine in 1983
NPI Data:
- NPI Number: 1174591598
- Provider Enumeration Date: 03/10/2006
- Last Update Date: 03/20/2024
Medicare PECOS Information:
- PECOS PAC ID: 9931186467
- Enrollment ID: I20140715000706
Medical Identifiers
Medical identifiers for Dr Dennis John Tishko such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1174591598 | NPI | - | NPPES |
| 14V0A | Other | FL | FLORIDA BLUE |
| 011135100 | Medicaid | FL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | ME117485 (Florida) | Secondary |
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | ME117435 (Florida) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| North Brevard Medical Support Inc | 7618870296 | 87 |
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 Dennis John Tishko allows following entities to bill medicare on his behalf.
| Entity Name | North Brevard Medical Support Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1609834886
PECOS PAC ID: 7618870296
Enrollment ID: O20040130000385 |
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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 Dennis John Tishko 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 |
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Dr Dennis John Tishko, MD
661 E Altamonte Dr Ste 324,
Altamonte Springs, FL 32701-5103
Ph: (407) 845-8354 | Dr Dennis John Tishko, MD
661 E Altamonte Dr Ste 324,
Altamonte Springs, FL 32701-5103
Ph: (407) 845-8354 |
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