Mrs Mira N Slizovsky, MD in West Lafayette, IN

Mrs Mira N Slizovsky, MD is a medicare enrolled "Pediatrics" physician in West Lafayette, Indiana. Her current practice location is 915 Sagamore Pkwy W, West Lafayette, Indiana. You can reach out to her office (for appointments etc.) via phone at (765) 463-5252.

Mrs Mira N Slizovsky is licensed to practice in Indiana (license number 01094049A) 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 1235195116.

Contact Information

	Mrs Mira N Slizovsky, MD
	915 Sagamore Pkwy W, West Lafayette, IN 47906-1443
	(765) 463-5252
	(765) 463-2289

Map and Direction

Physician's Profile

Full Name	Mrs Mira N Slizovsky
Gender	Female
Speciality	Pediatrics
Location	915 Sagamore Pkwy W, West Lafayette, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1235195116
Provider Enumeration Date: 04/21/2006
Last Update Date: 10/07/2024

Medicare PECOS Information:

PECOS PAC ID: 5597205997
Enrollment ID: I20240912001045

Medical Identifiers

Medical identifiers for Mrs Mira N Slizovsky such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1235195116	NPI	-	NPPES
0017085760001	Medicaid	PA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	MD065630L (Pennsylvania)	Secondary
208000000X	Pediatrics	01094049A (Indiana)	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. Mrs Mira N Slizovsky allows following entities to bill medicare on her behalf.

Entity Name	Franciscan Physician Network
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225327984 PECOS PAC ID: 3072790682 Enrollment ID: O20110608000486

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. Mrs Mira N Slizovsky 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
Mrs Mira N Slizovsky, MD Po Box 781076, Detroit, MI 48278-1076 Ph: (317) 528-4800	Mrs Mira N Slizovsky, MD 915 Sagamore Pkwy W, West Lafayette, IN 47906-1443 Ph: (765) 463-5252

Reviews and Comments

Pediatrics Doctors in West Lafayette, IN

Dr. Elizabeth Anne Basquin, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 518 Hillcrest Rd, West Lafayette, IN 47906 Phone: 765-463-9430
Donald Fahler, Pediatrics Medicare: Medicare Enrolled Practice Location: 253 Sagamore Pkwy W, West Lafayette, IN 47906 Phone: 765-448-8000 Fax: 765-448-7606
James O Reeder, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2995 N Salisbury St, West Lafayette, IN 47906 Phone: 765-448-8000 Fax: 765-448-8335
Charlotte Joy Alexandra Steele-morris, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 715 Clinic Dr, Purdue University, Lyles-porter Hall, West Lafayette, IN 47907 Phone: 765-494-8588
Timothy Matthew Snyder, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 915 Sagamore Pkwy W, West Lafayette, IN 47906 Phone: 765-463-2424 Fax: 765-463-2249
Gerald Wehr, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 601 Stadium Mall Dr, West Lafayette, IN 47907 Phone: 765-494-1700 Fax: 765-496-1227

Mrs Mira N Slizovsky, MD - Medicare Pediatrics in West Lafayette, IN