Dr Michael Mstislavovich Ivanitsky, MD - Medicare Orthopedic Surgery in Coquille, OR

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Dr Michael Mstislavovich Ivanitsky, MD is a medicare enrolled "Orthopaedic Surgery" physician in Coquille, Oregon. He went to Mayo Medical School and graduated in 1993 and has 31 years of diverse experience with area of expertise as Orthopedic Surgery. He is a member of the group practice Lower Umpqua Hospital District and his current practice location is 940 E 5th St, Coquille, Oregon. You can reach out to his office (for appointments etc.) via phone at (541) 396-3111.

Dr Michael Mstislavovich Ivanitsky is licensed to practice in Oregon (license number MD22589) 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 1003837410.

Contact Information

Dr Michael Mstislavovich Ivanitsky, MD
940 E 5th St,
Coquille, OR 97423-1699
(541) 396-3111
(541) 396-8135

Map and Direction




Physician's Profile

Full NameDr Michael Mstislavovich Ivanitsky
GenderMale
SpecialityOrthopedic Surgery
Experience31 Years
Location940 E 5th St, Coquille, Oregon
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:
  • Dr Michael Mstislavovich Ivanitsky attended and graduated from Mayo Medical School in 1993
  NPI Data:
  • NPI Number: 1003837410
  • Provider Enumeration Date: 07/21/2006
  • Last Update Date: 09/04/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 6901985498
  • Enrollment ID: I20080508000761

Medical Identifiers

Medical identifiers for Dr Michael Mstislavovich Ivanitsky such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003837410NPI-NPPES
288121MedicaidOR

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207X00000XOrthopaedic Surgery MD22589 (Oregon)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Lower Umpqua Hospital DistrictReedsport, ORHospital
Southern Coos Hospital & Health CenterBandon, ORHospital
Bay Area HospitalCoos bay, ORHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Lower Umpqua Hospital District680070356227

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 Michael Mstislavovich Ivanitsky allows following entities to bill medicare on his behalf.
Entity NameNorth Bend Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407812365
PECOS PAC ID: 5597677716
Enrollment ID: O20031105000138
Entity NameLower Umpqua Hospital District
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003874819
PECOS PAC ID: 6800703562
Enrollment ID: O20040212000228
Entity NameSouthern Coos Health District
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588684484
PECOS PAC ID: 1951219310
Enrollment ID: O20040526000542

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 Michael Mstislavovich Ivanitsky 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
Dr Michael Mstislavovich Ivanitsky, MD
940 E 5th St,
Coquille, OR 97423-1666

Ph: (541) 396-3111		Dr Michael Mstislavovich Ivanitsky, MD
940 E 5th St,
Coquille, OR 97423-1699

Ph: (541) 396-3111

Reviews and Comments


Orthopaedic Surgery Doctors in Coquille, OR


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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.

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