Evan Peskin, MD MBA is a medicare enrolled "Pain Medicine - Interventional Pain Medicine" physician in Flint, Michigan. He went to University Of Miami, Lm Miller School Of Medicine and graduated in 2017 and has 8 years of diverse experience with area of expertise as Pain Management. He is a member of the group practice Jawad A Shah, Md Pc, Community Health Center Of Branch County, Rau Physical Therapy Inc and his current practice location is
4800 S Saginaw St Ste 1800, Flint, Michigan. You can reach out to his office (for appointments etc.) via phone at
(810) 732-9333.
Evan Peskin is licensed to practice in Michigan (license number 4301507484) 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 1669904959.
Physician's Profile
| Full Name | Evan Peskin |
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| Gender | Male |
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| Speciality | Pain Management |
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| Experience | 8 Years |
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| Location | 4800 S Saginaw St Ste 1800, Flint, Michigan |
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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:
- Evan Peskin attended and graduated from University Of Miami, Lm Miller School Of Medicine in 2017
NPI Data:
- NPI Number: 1669904959
- Provider Enumeration Date: 03/28/2017
- Last Update Date: 01/26/2024
Medicare PECOS Information:
- PECOS PAC ID: 4688055817
- Enrollment ID: I20220720000731
Medical Identifiers
Medical identifiers for Evan Peskin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1669904959 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207L00000X | Anesthesiology | 4301507484 (Michigan) | Secondary |
| 207LP2900X | Anesthesiology - Pain Medicine | 149677 (Florida) | Secondary |
| 207LP2900X | Anesthesiology - Pain Medicine | 4301507484 (Michigan) | Secondary |
| 208100000X | Physical Medicine & Rehabilitation | 4301507484 (Michigan) | Secondary |
| 2081P2900X | Physical Medicine & Rehabilitation - Pain Medicine | 4301507487 (Michigan) | Secondary |
| 208VP0000X | Pain Medicine - Pain Medicine | 4301507484 (Michigan) | Secondary |
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | 4301507484 (Michigan) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Jawad A Shah, Md Pc | 5799779633 | 71 |
| Community Health Center Of Branch County | 9335037514 | 49 |
| Rau Physical Therapy Inc | 2365721339 | 55 |
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. Evan Peskin allows following entities to bill medicare on his behalf.
| Entity Name | Community Health Center Of Branch County |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1124055009
PECOS PAC ID: 9335037514
Enrollment ID: O20040309000671 |
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| Entity Name | Jawad A Shah, Md Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1942402391
PECOS PAC ID: 5799779633
Enrollment ID: O20040413000798 |
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| Entity Name | Insight Anesthesia Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1952775975
PECOS PAC ID: 4486066297
Enrollment ID: O20201221001732 |
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| Entity Name | Jawad A Shah, Md Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1952678914
PECOS PAC ID: 5799779633
Enrollment ID: O20220608001188 |
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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. Evan Peskin 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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Evan Peskin, MD MBA
1611 Nw 12th Ave, (c-301),
Miami, FL 33136-1005
Ph: (305) 585-6970 | Evan Peskin, MD MBA
4800 S Saginaw St Ste 1800,
Flint, MI 48507-2677
Ph: (810) 732-9333 |
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