Dr Michael Nemytov, is a medicare enrolled "Psychiatry & Neurology - Neurology" physician in West Islip, New York. His current practice location is
1175 Montauk Hwy Ste 3, West Islip, New York. You can reach out to his office (for appointments etc.) via phone at
(631) 500-9400.
Dr Michael Nemytov is licensed to practice in New York (license number 308273) 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 1093167421.
Physician's Profile
| Full Name | Dr Michael Nemytov |
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| Gender | Male |
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| Speciality | Psychiatry & Neurology - Neurology |
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| Location | 1175 Montauk Hwy Ste 3, West Islip, New York |
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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: 1093167421
- Provider Enumeration Date: 07/11/2016
- Last Update Date: 02/11/2025
Medicare PECOS Information:
- PECOS PAC ID: 0749527810
- Enrollment ID: I20230824002368
Medical Identifiers
Medical identifiers for Dr Michael Nemytov such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1093167421 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2084N0400X | Psychiatry & Neurology - Neurology | 308273 (New York) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
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 Nemytov allows following entities to bill medicare on his behalf.
| Entity Name | Downtown Bronx Medical Associates Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1689618407
PECOS PAC ID: 9638082746
Enrollment ID: O20031106000016 |
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| Entity Name | Physician Affiliate Group Of New York Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1013375526
PECOS PAC ID: 4688098833
Enrollment ID: O20200721001270 |
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| Entity Name | Nitin Mariwalla Md Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1659943942
PECOS PAC ID: 0941692495
Enrollment ID: O20220113001817 |
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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 Michael Nemytov 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 Michael Nemytov,
1175 Montauk Hwy Ste 3,
West Islip, NY 11795-4939
Ph: (631) 500-9400 | Dr Michael Nemytov,
1175 Montauk Hwy Ste 3,
West Islip, NY 11795-4939
Ph: (631) 500-9400 |
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