Ian Mukand-cerro, MD in Bangor, ME - Medicare Dermatology

Ian Mukand-cerro, MD is a medicare enrolled "Dermatology - Dermatopathology" physician in Bangor, Maine. His current practice location is 417 State St Ste 439, Bangor, Maine. You can reach out to his office (for appointments etc.) via phone at (207) 941-8200.

Ian Mukand-cerro is licensed to practice in West Virginia (license number 28520) 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 1316259435.

Contact Information

	Ian Mukand-cerro, MD
	417 State St Ste 439, Bangor, ME 04401-6635
	(207) 941-8200
	(207) 990-4848

Map and Direction

Physician's Profile

Full Name	Ian Mukand-cerro
Gender	Male
Speciality	Dermatology - Dermatopathology
Location	417 State St Ste 439, Bangor, Maine
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1316259435
Provider Enumeration Date: 07/06/2010
Last Update Date: 11/28/2018

Medicare PECOS Information:

PECOS PAC ID: 2466721360
Enrollment ID: I20181107003785

Medical Identifiers

Medical identifiers for Ian Mukand-cerro such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1316259435	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207ZP0102X	Pathology - Anatomic Pathology & Clinical Pathology	258041 (Massachusetts)	Secondary
207ND0900X	Dermatology - Dermatopathology	28520 (West Virginia)	Primary

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. Ian Mukand-cerro allows following entities to bill medicare on his behalf.

Entity Name	Beckley Dermatology Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1720089279 PECOS PAC ID: 5496647067 Enrollment ID: O20040327000436

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. Ian Mukand-cerro 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
Ian Mukand-cerro, MD 417 State St Ste 439, Bangor, ME 04401-6635 Ph: (207) 941-8200	Ian Mukand-cerro, MD 417 State St Ste 439, Bangor, ME 04401-6635 Ph: (207) 941-8200

Reviews and Comments

Dermatology Doctors in Bangor, ME

Dr. Jeffrey Dean Pittis, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 90 Ridgewood Dr, Bangor, ME 04401 Phone: 207-942-0669 Fax: 207-947-3143
Dr. Orville Albert Hartford, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 90 Ridgewood Dr, Bangor, ME 04401 Phone: 207-942-0669 Fax: 207-947-3143
Robert Wynne Haeberlein Jr., MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 700 Mount Hope Avenue Suite 601, Bangor, ME 04401 Phone: 207-942-4653 Fax: 207-990-4795
Mrs. Faith Miller Whalen, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 90 Ridgewood Dr, Bangor, ME 04401 Phone: 207-942-0669 Fax: 207-947-3143
Dr. Jaymie Fe Potenciano Panuncialman, M.D. Dermatology Medicare: Medicare Enrolled Practice Location: 35 State Hospital Dr, Bangor, ME 04401 Phone: 207-561-3600
William F Gallagher, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 1012 Union St, Bangor, ME 04401 Phone: 207-945-5247 Fax: 207-990-1248
Mrs. Samantha Helene Mitchell, FNP-C Dermatology Medicare: Accepting Medicare Assignments Practice Location: 90 Ridgewood Dr, Bangor, ME 04401 Phone: 207-942-0669 Fax: 207-947-3143

Ian Mukand-cerro, MD - Medicare Dermatology in Bangor, ME