Josephine Detar, MD is a medicare enrolled "Anesthesiology" physician in Millport, New York. Her current practice location is
1927 Woods Edge Dr, Millport, New York. You can reach out to her office (for appointments etc.) via phone at
(800) 394-4445.
Josephine Detar is licensed to practice in New York (license number 1867691) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1306897970.
Physician's Profile
| Full Name | Josephine Detar |
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| Gender | Female |
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| Speciality | Anesthesiology |
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| Location | 1927 Woods Edge Dr, Millport, 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. |
NPI Data:
- NPI Number: 1306897970
- Provider Enumeration Date: 05/16/2006
- Last Update Date: 06/14/2008
Medicare PECOS Information:
- PECOS PAC ID: 3173697448
- Enrollment ID: I20080805000101
Medical Identifiers
Medical identifiers for Josephine Detar such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1306897970 | NPI | - | NPPES |
| 0018396300001 | Medicaid | PA | |
| 050084782 | Other | NY | RR MEDICARE |
| 610421800 | Other | NY | DEPT OF LABOR |
| 008130315 | Other | NY | BCBS |
| 01390312 | Medicaid | NY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207L00000X | Anesthesiology | 1867691 (New York) | 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. Josephine Detar allows following entities to bill medicare on her behalf.
| Entity Name | Associated Anesthesiologists Of The Finger Lakes Llp |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1285684373 PECOS PAC ID: 3476597303 Enrollment ID: O20050613000435 |
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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. Josephine Detar 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 |
Josephine Detar, MD 1927 Woods Edge Dr, Millport, NY 14864-9730 Ph: (800) 394-4445 | Josephine Detar, MD 1927 Woods Edge Dr, Millport, NY 14864-9730 Ph: (800) 394-4445 |
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