Dr Fotis G Mystakas, MD - Medicare Orthopaedic Surgery in Lebanon, PA

Dr Fotis G Mystakas, MD is a medicare enrolled "Orthopaedic Surgery" physician in Lebanon, Pennsylvania. His current practice location is 912 Russell Dr, Lebanon, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (717) 272-7971.

Dr Fotis G Mystakas is licensed to practice in Pennsylvania (license number MD034196L) 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 1114993334.

Contact Information

Dr Fotis G Mystakas, MD
912 Russell Dr,
Lebanon, PA 17042-7485
(717) 272-7971
(717) 272-1241



Physician's Profile

Full NameDr Fotis G Mystakas
GenderMale
SpecialityOrthopaedic Surgery
Location912 Russell Dr, Lebanon, Pennsylvania
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1114993334
  • Provider Enumeration Date: 02/27/2006
  • Last Update Date: 03/18/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 6406912476
  • Enrollment ID: I20100223000007

Medical Identifiers

Medical identifiers for Dr Fotis G Mystakas such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114993334NPI-NPPES
127119OtherPAMEDICARE
000643495MedicaidPA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207X00000XOrthopaedic Surgery MD034196L (Pennsylvania)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. Dr Fotis G Mystakas allows following entities to bill medicare on his behalf.
Entity NameWellspan Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750480299
PECOS PAC ID: 1951213115
Enrollment ID: O20040220000815

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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 Fotis G Mystakas 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 Fotis G Mystakas, MD
3421 Concord Rd,
York, PA 17402-9001

Ph: (717) 272-7971
Dr Fotis G Mystakas, MD
912 Russell Dr,
Lebanon, PA 17042-7485

Ph: (717) 272-7971

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Orthopaedic Surgery Doctors in Lebanon, PA

Sean E Slaven, MD
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 912 Russell Dr, Lebanon, PA 17042
Phone: 717-272-7971    
David G Kuntz Jr., MD
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 912 Russell Dr, Lebanon, PA 17042
Phone: 717-272-7971    Fax: 717-272-1241
Dr. David J Overholt, M.D.
Orthopedic Surgery
Medicare: Medicare Enrolled
Practice Location: 912 Russell Dr, Lebanon, PA 17042
Phone: 717-272-7971    Fax: 717-272-1241
Dr. Victor J Faralli, M.D.
Orthopedic Surgery
Medicare: Medicare Enrolled
Practice Location: 912 Russell Dr, Lebanon, PA 17042
Phone: 717-272-7971    Fax: 717-272-1241
Dr. Frederick Lewis Jones, MD
Orthopedic Surgery
Medicare: Medicare Enrolled
Practice Location: 1700 S Lincoln Ave, Lebanon, PA 17042
Phone: 717-272-6621    Fax: 717-228-5982
Dr. Scott M. Williams, M.D.
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 912 Russell Dr, Lebanon, PA 17042
Phone: 717-272-7971    Fax: 717-272-1241

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