Ivan Golub, is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Boston, Massachusetts. He went to Rutgers, Robert Woood Johnson Medical School and graduated in 2019 and has 7 years of diverse experience with area of expertise as Orthopedic Surgery. He is a member of the group practice Maimonides Medical Center Orthopaedic Fpp, Maimonides Faculty Practice Plan and his current practice location is
55 Fruit St, Boston, Massachusetts. You can reach out to his office (for appointments etc.) via phone at
(617) 726-9111.
Ivan Golub 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 1063974996.
Physician's Profile
| Full Name | Ivan Golub |
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| Gender | Male |
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| Speciality | Orthopedic Surgery |
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| Experience | 7 Years |
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| Location | 55 Fruit St, Boston, Massachusetts |
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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:
- Ivan Golub attended and graduated from Rutgers, Robert Woood Johnson Medical School in 2019
NPI Data:
- NPI Number: 1063974996
- Provider Enumeration Date: 04/01/2019
- Last Update Date: 05/29/2024
Medicare PECOS Information:
- PECOS PAC ID: 4880924794
- Enrollment ID: I20251001000166
Medical Identifiers
Medical identifiers for Ivan Golub such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1063974996 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207X00000X | Orthopaedic Surgery | 1018314 (Massachusetts) | 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 |
|---|
| Maimonides Medical Center Orthopaedic Fpp | 1850694431 | 25 |
| Maimonides Faculty Practice Plan | 7012808348 | 251 |
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. Ivan Golub allows following entities to bill medicare on his behalf.
| Entity Name | Maimonides Faculty Practice Plan |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1053344846
PECOS PAC ID: 7012808348
Enrollment ID: O20040324000597 |
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| Entity Name | Maimonides Medical Center Orthopaedic Fpp |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1073943163
PECOS PAC ID: 1850694431
Enrollment ID: O20160115000419 |
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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. Ivan Golub 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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Ivan Golub,
Maimonides Medical Center, 4802 10th Ave,
Brooklyn, NY 11219
Ph: Not Available | Ivan Golub,
55 Fruit St,
Boston, MA 02114-2621
Ph: (617) 726-9111 |
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