Dr Ezra David Mirvish, MD - Medicare Dermatology in Monroeville, PA

Dr Ezra David Mirvish, MD is a medicare enrolled "Dermatology" physician in Monroeville, Pennsylvania. He went to University Of Pittsburgh School Of Medicine and graduated in 2012 and has 12 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice Forefront Dermatology and his current practice location is 2790 Mosside Blvd Ste 720, Monroeville, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (412) 372-2770.

Dr Ezra David Mirvish is licensed to practice in Pennsylvania (license number MD456947) 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 1255697272.

Contact Information

Dr Ezra David Mirvish, MD
2790 Mosside Blvd Ste 720,
Monroeville, PA 15146-2757
(412) 372-2770
(412) 372-4656



Physician's Profile

Full NameDr Ezra David Mirvish
GenderMale
SpecialityDermatology
Experience12 Years
Location2790 Mosside Blvd Ste 720, Monroeville, 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:
  • Dr Ezra David Mirvish attended and graduated from University Of Pittsburgh School Of Medicine in 2012
  NPI Data:
  • NPI Number: 1255697272
  • Provider Enumeration Date: 04/03/2012
  • Last Update Date: 02/23/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 1850684903
  • Enrollment ID: I20160727000165

Medical Identifiers

Medical identifiers for Dr Ezra David Mirvish such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1255697272NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207N00000XDermatology MD456947 (Pennsylvania)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Forefront Dermatology3779471701474

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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. Dr Ezra David Mirvish allows following entities to bill medicare on his behalf.
Entity NameForefront Dermatology Sc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1720443211
PECOS PAC ID: 3779471701
Enrollment ID: O20160209002503

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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. Dr Ezra David Mirvish 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
Dr Ezra David Mirvish, MD
801 York St,
Manitowoc, WI 54220-4630

Ph: (866) 630-9882
Dr Ezra David Mirvish, MD
2790 Mosside Blvd Ste 720,
Monroeville, PA 15146-2757

Ph: (412) 372-2770

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Dermatology Doctors in Monroeville, PA

Dr. Joseph John Stuckert Ii, M.D.
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 3824 Northern Pike, Ste 900, Monroeville, PA 15146
Phone: 412-457-0422    Fax: 412-457-1180
Casey Douglas Logan, MD
Dermatology
Medicare: Medicare Enrolled
Practice Location: 2790 Mosside Blvd Ste 720, Monroeville, PA 15146
Phone: 412-372-2770    Fax: 412-372-4656
Lisa A Goldberg, MD
Dermatology
Medicare: Not Enrolled in Medicare
Practice Location: 2790 Mosside Blvd Ste 720, Monroeville, PA 15146
Phone: 412-372-2770    Fax: 412-372-4656
Jeffrey G Weaver, DO
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 2790 Mosside Blvd, Suite 105, Monroeville, PA 15146
Phone: 412-372-2277    Fax: 412-373-2307
Andrew Hankinson, M.D.
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 2790 Mosside Blvd Ste 720, Monroeville, PA 15146
Phone: 412-372-2770    Fax: 412-372-4656
Carol K Roper, MD
Dermatology
Medicare: Not Enrolled in Medicare
Practice Location: 2790 Mosside Blvd, Ste 105, Monroeville, PA 15146
Phone: 412-372-2277    Fax: 412-373-2307

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