Philip Cushman Iii, DO is a medicare enrolled "Internal Medicine" physician in Tyndall Afb, Florida. His current practice location is
340 Magnolia Cir # 5612, Tyndall Afb, Florida. You can reach out to his office (for appointments etc.) via phone at
(701) 747-5504.
Philip Cushman Iii is licensed to practice in Michigan (license number 5101021993) 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 1538548714.
Physician's Profile
Full Name | Philip Cushman Iii |
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Gender | Male |
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Speciality | Internal Medicine |
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Location | 340 Magnolia Cir # 5612, Tyndall Afb, Florida |
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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: 1538548714
- Provider Enumeration Date: 05/21/2015
- Last Update Date: 08/10/2022
Medicare PECOS Information:
- PECOS PAC ID: 2961714589
- Enrollment ID: I20230918004086
Medical Identifiers
Medical identifiers for Philip Cushman Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1538548714 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2083A0100X | Preventive Medicine - Aerospace Medicine | 5101021993 (Michigan) | Secondary |
207R00000X | Internal Medicine | 5101021993 (Michigan) | 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. Philip Cushman Iii allows following entities to bill medicare on his behalf.
Entity Name | Hni Hospital Services Of Florida Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1144851411 PECOS PAC ID: 0244661353 Enrollment ID: O20200505001799 |
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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. Philip Cushman Iii 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 |
Philip Cushman Iii, DO 340 Magnolia Cir # 5612, Tyndall Afb, FL 32403-5604 Ph: () - | Philip Cushman Iii, DO 340 Magnolia Cir # 5612, Tyndall Afb, FL 32403-5604 Ph: (701) 747-5504 |
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