Mitchell Ira Boriskin, FNP is a medicare enrolled "Nurse Practitioner" in Oakridge, Oregon. His current practice location is
48134 Highway 58, Oakridge, Oregon. You can reach out to his office (for appointments etc.) via phone at
(541) 640-7625.
Mitchell Ira Boriskin is licensed to practice in Oregon (license number 85073033N1) 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 1376626655.
Provider's Profile
| Full Name | Mitchell Ira Boriskin |
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| Gender | Male |
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| Speciality | Nurse Practitioner |
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| Location | 48134 Highway 58, Oakridge, Oregon |
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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: 1376626655
- Provider Enumeration Date: 10/23/2006
- Last Update Date: 01/23/2020
Medicare PECOS Information:
- PECOS PAC ID: 6608789821
- Enrollment ID: I20031112000404
Medical Identifiers
Medical identifiers for Mitchell Ira Boriskin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1376626655 | NPI | - | NPPES |
| 175281 | Medicaid | OR | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363L00000X | Nurse Practitioner | 85073033N1 (Oregon) | 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. Mitchell Ira Boriskin allows following entities to bill medicare on his behalf.
| Entity Name | Icco LLC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1407004757 PECOS PAC ID: 1355406729 Enrollment ID: O20090218000510 |
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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. Mitchell Ira Boriskin 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 |
Mitchell Ira Boriskin, FNP 1292 High St Ste 224, Eugene, OR 97401-3238 Ph: (541) 500-2500 | Mitchell Ira Boriskin, FNP 48134 Highway 58, Oakridge, OR 97463-9601 Ph: (541) 640-7625 |
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