Mr Idan Aviv Waksman, PA-C - Medicare Physician Assistant in Philadelphia, PA

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Mr Idan Aviv Waksman, PA-C is a medicare enrolled "Physician Assistant" in Philadelphia, Pennsylvania. He graduated from nursing school in 2019 and has 7 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Haddon Emergency Physicians Llc and his current practice location is 3400 Spruce Street, Ground Silverstein Bldg, Philadelphia, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (617) 633-6414.

Mr Idan Aviv Waksman is licensed to practice in Pennsylvania (license number MA061390) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1457991903.

Contact Information

Mr Idan Aviv Waksman, PA-C
3400 Spruce Street, Ground Silverstein Bldg,
Philadelphia, PA 19104-4206
(617) 633-6414
Not Available

Map and Direction




Provider's Profile

Full NameMr Idan Aviv Waksman
GenderMale
SpecialityPhysician Assistant
Experience7 Years
Location3400 Spruce Street, Philadelphia, Pennsylvania
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mr Idan Aviv Waksman graduated from nursing school in 2019
  NPI Data:
  • NPI Number: 1457991903
  • Provider Enumeration Date: 01/13/2020
  • Last Update Date: 04/17/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 5799112918
  • Enrollment ID: I20200228001472

Medical Identifiers

Medical identifiers for Mr Idan Aviv Waksman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1457991903NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 25MP00556700 (New Jersey)Secondary
363A00000XPhysician Assistant MA061390 (Pennsylvania)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Pennsylvania HospitalPhiladelphia, PAHospital
Hospital Of Univ Of PennsylvaniaPhiladelphia, PAHospital
Penn Presbyterian Medical CenterPhiladelphia, PAHospital
Virtua Our Lady Of Lourdes HospitalCamden, NJHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Haddon Emergency Physicians Llc408251422921

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. Mr Idan Aviv Waksman allows following entities to bill medicare on his behalf.
Entity NameHaddon Emergency Physicians LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558312785
PECOS PAC ID: 4082514229
Enrollment ID: O20040113000034
Entity NameVirtua Medical Group, PA
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649226515
PECOS PAC ID: 9830222397
Enrollment ID: O20100804000338

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. Mr Idan Aviv Waksman 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 AddressPractice Location Address
Mr Idan Aviv Waksman, PA-C
3400 Spruce Street, Ground Silverstein Bldg,
Philadelphia, PA 19104-4206

Ph: (215) 662-6698		Mr Idan Aviv Waksman, PA-C
3400 Spruce Street, Ground Silverstein Bldg,
Philadelphia, PA 19104-4206

Ph: (617) 633-6414

Reviews and Comments


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Leah M Lopez, PA-C
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Julia Esther Lim, PA-C
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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.