Dr Roman Spivak, MD - Medicare Pulmonary Disease in Ansonia, CT

Dr Roman Spivak, MD is a medicare enrolled "Internal Medicine - Pulmonary Disease" physician in Ansonia, Connecticut. He graduated from medical school in 2007 and has 17 years of diverse experience with area of expertise as Pulmonary Disease. He is a member of the group practice Griffin Faculty Physicians Inc and his current practice location is 135 Division St Ste 2, Ansonia, Connecticut. You can reach out to his office (for appointments etc.) via phone at (203) 308-2705.

Dr Roman Spivak is licensed to practice in Connecticut (license number 52868) 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 1780889493.

Contact Information

Dr Roman Spivak, MD
135 Division St Ste 2,
Ansonia, CT 06401-2135
(203) 308-2705
(203) 734-0137



Physician's Profile

Full NameDr Roman Spivak
GenderMale
SpecialityPulmonary Disease
Experience17 Years
Location135 Division St Ste 2, Ansonia, Connecticut
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 Roman Spivak graduated from medical school in 2007
  NPI Data:
  • NPI Number: 1780889493
  • Provider Enumeration Date: 06/21/2007
  • Last Update Date: 10/12/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 0941425433
  • Enrollment ID: I20140625000378

Medical Identifiers

Medical identifiers for Dr Roman Spivak such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1780889493NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RC0200XInternal Medicine - Critical Care Medicine 259527 (New York)Secondary
207RC0200XInternal Medicine - Critical Care Medicine 52868 (Connecticut)Secondary
207RP1001XInternal Medicine - Pulmonary Disease 259527 (New York)Secondary
207RP1001XInternal Medicine - Pulmonary Disease 52868 (Connecticut)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Griffin HospitalDerby, CTHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Griffin Faculty Physicians Inc7618871997107

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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 Roman Spivak allows following entities to bill medicare on his behalf.
Entity NameGriffin Faculty Physicians Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1598755605
PECOS PAC ID: 7618871997
Enrollment ID: O20031120000158

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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 Roman Spivak 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 Roman Spivak, MD
67 Maple Ave,
Derby, CT 06418-1328

Ph: (203) 732-1330
Dr Roman Spivak, MD
135 Division St Ste 2,
Ansonia, CT 06401-2135

Ph: (203) 308-2705

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Internal Medicine Doctors in Ansonia, CT

Dr. Stephen J. Moses, M.D.
Pulmonary Disease
Medicare: Medicare Enrolled
Practice Location: 135 Division St, Ansonia, CT 06401
Phone: 203-735-9354    Fax: 203-732-2106
Dr. Chi Tang, MD
Pulmonary Disease
Medicare: Accepting Medicare Assignments
Practice Location: 135 Division St Ste 1, Ansonia, CT 06401
Phone: 203-735-3500    Fax: 203-735-0505
Bruce T Brennan, MD
Pulmonary Disease
Medicare: Accepting Medicare Assignments
Practice Location: 22 Westfield Ave, Ansonia, CT 06401
Phone: 203-734-7100    Fax: 203-734-3392
Sangeetha Rajan, M.D.
Pulmonary Disease
Medicare: Medicare Enrolled
Practice Location: 111 Wakelee Ave, Ansonia, CT 06401
Phone: 203-308-2781    
Mr. Jonathan T Simon, M.D.
Pulmonary Disease
Medicare: Accepting Medicare Assignments
Practice Location: 22 Westfield Ave, Ansonia, CT 06401
Phone: 203-736-9919    Fax: 203-735-2055
Dr. Aisha Khan, MD
Pulmonary Disease
Medicare: Accepting Medicare Assignments
Practice Location: 111 Wakelee Ave, Ansonia, CT 06401
Phone: 203-308-2781    
Dr. Joel S Zaretzky, M.D.
Pulmonary Disease
Medicare: Not Enrolled in Medicare
Practice Location: 199 Wakelee Ave, Ansonia, CT 06401
Phone: 203-735-5444    Fax: 203-735-1469

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