Bryant T Ittiara, DO - Medicare Pain Management in Allen Park, MI

Bryant T Ittiara, DO is a medicare enrolled "Pain Medicine - Interventional Pain Medicine" physician in Allen Park, Michigan. He went to Lake Erie College Of Osteopathic Medicine, Erie and graduated in 2008 and has 16 years of diverse experience with area of expertise as Pain Management. He is a member of the group practice Neurological Institute Of Interventional Pain Management Pllc and his current practice location is 18707 Ecorse Rd, Allen Park, Michigan. You can reach out to his office (for appointments etc.) via phone at (734) 682-3309.

Bryant T Ittiara is licensed to practice in Michigan (license number 5101017919) 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 1871829069.

Contact Information

Bryant T Ittiara, DO
18707 Ecorse Rd,
Allen Park, MI 48101-2255
(734) 682-3309
(734) 682-1488



Physician's Profile

Full NameBryant T Ittiara
GenderMale
SpecialityPain Management
Experience16 Years
Location18707 Ecorse Rd, Allen Park, Michigan
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:
  • Bryant T Ittiara attended and graduated from Lake Erie College Of Osteopathic Medicine, Erie in 2008
  NPI Data:
  • NPI Number: 1871829069
  • Provider Enumeration Date: 10/23/2009
  • Last Update Date: 01/07/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 3971747908
  • Enrollment ID: I20131003000541

Medical Identifiers

Medical identifiers for Bryant T Ittiara such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1871829069NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207L00000XAnesthesiology L1593593 (Michigan)Secondary
207LP2900XAnesthesiology - Pain Medicine 5101017919 (Michigan)Secondary
208VP0014XPain Medicine - Interventional Pain Medicine 5101017919 (Michigan)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Neurological Institute Of Interventional Pain Management Pllc21636436692

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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. Bryant T Ittiara allows following entities to bill medicare on his behalf.
Entity NameAmbulatory Anesthesia Associates Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952350555
PECOS PAC ID: 5092729020
Enrollment ID: O20060130000526

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Entity NameNeurological Institute Of Interventional Pain Management Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427462597
PECOS PAC ID: 2163643669
Enrollment ID: O20141027001962

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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. Bryant T Ittiara 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
Bryant T Ittiara, DO
416 James Cir,
Royal Oak, MI 48067-4545

Ph: (734) 604-0017
Bryant T Ittiara, DO
18707 Ecorse Rd,
Allen Park, MI 48101-2255

Ph: (734) 682-3309

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Pain Medicine Doctors in Allen Park, MI


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