Michael Ralph Dourmashkin, MD is a medicare enrolled "Urology" physician in Melville, New York. His current practice location is
532 Broadhollow Rd, Melville, New York. You can reach out to his office (for appointments etc.) via phone at
(516) 931-0041.
Michael Ralph Dourmashkin is licensed to practice in New York (license number 151947) 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 1336134139.
Physician's Profile
| Full Name | Michael Ralph Dourmashkin |
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| Gender | Male |
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| Speciality | Urology |
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| Location | 532 Broadhollow Rd, Melville, 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: 1336134139
- Provider Enumeration Date: 09/17/2005
- Last Update Date: 04/20/2011
Medicare PECOS Information:
- PECOS PAC ID: 5890691281
- Enrollment ID: I20031208000758
Medical Identifiers
Medical identifiers for Michael Ralph Dourmashkin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1336134139 | NPI | - | NPPES |
| 01093425 | Medicaid | NY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208800000X | Urology | 151947 (New York) | Primary |
| 208800000X | Urology | 51668 (New Jersey) | Secondary |
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. Michael Ralph Dourmashkin allows following entities to bill medicare on his behalf.
| Entity Name | Hudson Valley Lithotripsy Associates, P.c. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1437242781 PECOS PAC ID: 4183078603 Enrollment ID: O20231002001672 |
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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. Michael Ralph Dourmashkin 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 |
Michael Ralph Dourmashkin, MD 4230 Hempstead Tpke, Bethpage, NY 11714-5700 Ph: (516) 796-2222 | Michael Ralph Dourmashkin, MD 532 Broadhollow Rd, Melville, NY 11747-3672 Ph: (516) 931-0041 |
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