Yevgeny Eugene Mironer, MD is a medicare enrolled "Pain Medicine - Interventional Pain Medicine" physician in Spartanburg, South Carolina. His current practice location is
279 E Kennedy St, Spartanburg, South Carolina. You can reach out to his office (for appointments etc.) via phone at
(864) 583-0053.
Yevgeny Eugene Mironer is licensed to practice in South Carolina (license number 184375) 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 1992728141.
Physician's Profile
| Full Name | Yevgeny Eugene Mironer |
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| Gender | Male |
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| Speciality | Pain Medicine - Interventional Pain Medicine |
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| Location | 279 E Kennedy St, Spartanburg, South Carolina |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1992728141
- Provider Enumeration Date: 07/26/2006
- Last Update Date: 01/29/2021
Medicare PECOS Information:
- PECOS PAC ID: 9032018924
- Enrollment ID: I20041229000941
Medical Identifiers
Medical identifiers for Yevgeny Eugene Mironer such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1992728141 | NPI | - | NPPES |
| 013KE | Other | NC | BC |
| GP2967 | Medicaid | SC | |
| 571049338 | Other | SC | BC |
| 89013KE | Medicaid | NC | |
| GP1456 | Medicaid | SC | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | 200200419 (North Carolina) | Secondary |
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | 184375 (South Carolina) | 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. Yevgeny Eugene Mironer allows following entities to bill medicare on his behalf.
| Entity Name | Carolinas Center For Advanced Management Of Pain Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1750304002
PECOS PAC ID: 4880593771
Enrollment ID: O20040608001181 |
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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. Yevgeny Eugene Mironer 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 |
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Yevgeny Eugene Mironer, MD
Po Box 6130,
Spartanburg, SC 29304-6130
Ph: (864) 583-0053 | Yevgeny Eugene Mironer, MD
279 E Kennedy St,
Spartanburg, SC 29302-1912
Ph: (864) 583-0053 |
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