Otar Michael Taktakishvili, MD in Mineola, NY

Otar Michael Taktakishvili, MD is a medicare enrolled "Emergency Medicine" physician in Mineola, New York. His current practice location is 259 1st St, Emergency Department, Mineola, New York. You can reach out to his office (for appointments etc.) via phone at (516) 663-2727.

Otar Michael Taktakishvili is licensed to practice in Connecticut (license number 054323) 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 1346407129.

Contact Information

	Otar Michael Taktakishvili, MD
	259 1st St, Emergency Department, Mineola, NY 11501-3957
	(516) 663-2727
	(516) 663-2727

Map and Direction

Physician's Profile

Full Name	Otar Michael Taktakishvili
Gender	Male
Speciality	Emergency Medicine
Location	259 1st St, Mineola, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1346407129
Provider Enumeration Date: 05/20/2008
Last Update Date: 08/19/2015

Medicare PECOS Information:

PECOS PAC ID: 9638356140
Enrollment ID: I20151029001788

Medical Identifiers

Medical identifiers for Otar Michael Taktakishvili such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1346407129	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	054323 (Connecticut)	Primary
207P00000X	Emergency Medicine	260699 (New York)	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. Otar Michael Taktakishvili allows following entities to bill medicare on his behalf.

Entity Name	Danbury Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1548293343 PECOS PAC ID: 1557273935 Enrollment ID: O20031104000476

Entity Name	Nuvance Health Medical Practice Ct Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1407898117 PECOS PAC ID: 4789597691 Enrollment ID: O20031205000130

Entity Name	Norwalk Hospital Association
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1427041581 PECOS PAC ID: 3375436660 Enrollment ID: O20040202000988

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. Otar Michael Taktakishvili 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
Otar Michael Taktakishvili, MD 259 1st St, Emergency Department, Mineola, NY 11501-3957 Ph: (516) 663-2727	Otar Michael Taktakishvili, MD 259 1st St, Emergency Department, Mineola, NY 11501-3957 Ph: (516) 663-2727

Reviews and Comments

Emergency Medicine Doctors in Mineola, NY

Dr. Heather A Posillico, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 259 First Street, Emergency Department, Mineola, NY 11501 Phone: 516-663-2211
Dr. Martin S. Kohn, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 259 1st St, Mineola, NY 11501 Phone: 516-663-2727 Fax: 516-663-8549
Dr. Ronald A. Paynter, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 259 1st St, Mineola, NY 11501 Phone: 516-663-2727 Fax: 516-663-8549
Dr. Edward Mintz, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 259 1st St, Mineola, NY 11501 Phone: 516-663-2727 Fax: 516-663-8549
Scott A. Gorenstein, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 120 Mineola Blvd, Suite 360, Mineola, NY 11501 Phone: 516-663-8498 Fax: 516-663-9765
Dr. Kenneth Steinberg, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 292 Herricks Rd, Mineola, NY 11501 Phone: 516-294-8910 Fax: 516-294-4009
Mrs. Jane Avella, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 292 Herricks Rd, Mineola, NY 11501 Phone: 516-294-8910 Fax: 516-294-4009

Otar Michael Taktakishvili, MD - Medicare Emergency Medicine in Mineola, NY