Dr Ryan Benjamin Mirchin, DO is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Flushing, New York. He went to Touro Un Col Of Osteopathic Medicine, New York and graduated in 2021 and has 4 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice North Shore-lij Medical Pc and his current practice location is
5645 Main St, Flushing, New York. You can reach out to his office (for appointments etc.) via phone at
(718) 670-1507.
Dr Ryan Benjamin Mirchin is licensed to practice in * (Not Available) (license number ) 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 1679154462.
Physician's Profile
| Full Name | Dr Ryan Benjamin Mirchin |
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| Gender | Male |
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| Speciality | Internal Medicine |
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| Experience | 4 Years |
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| Location | 5645 Main St, Flushing, New York |
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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 Ryan Benjamin Mirchin attended and graduated from Touro Un Col Of Osteopathic Medicine, New York in 2021
NPI Data:
- NPI Number: 1679154462
- Provider Enumeration Date: 04/14/2021
- Last Update Date: 11/03/2024
Medicare PECOS Information:
- PECOS PAC ID: 2163957341
- Enrollment ID: I20241125002504
Medical Identifiers
Medical identifiers for Dr Ryan Benjamin Mirchin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1679154462 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | 322081 (New York) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| North Shore-lij Medical Pc | 3375701568 | 5625 |
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 Ryan Benjamin Mirchin allows following entities to bill medicare on his behalf.
| Entity Name | North Shore-lij Medical Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1053688572
PECOS PAC ID: 3375701568
Enrollment ID: O20120220000262 |
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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 Ryan Benjamin Mirchin 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 Ryan Benjamin Mirchin, DO
18219 Horace Harding Expy,
Fresh Meadows, NY 11365-2242
Ph: () - | Dr Ryan Benjamin Mirchin, DO
5645 Main St,
Flushing, NY 11355-5045
Ph: (718) 670-1507 |
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