Phillip Arthur Immesoete Ii, MD - Medicare Neurological Surgery in Mansfield, OH

Phillip Arthur Immesoete Ii, MD is a medicare enrolled "Neurological Surgery" physician in Mansfield, Ohio. His current practice location is 335 Glessner Ave Fl Mob2, Mansfield, Ohio. You can reach out to his office (for appointments etc.) via phone at (567) 241-7700.

Phillip Arthur Immesoete Ii is licensed to practice in Ohio (license number 35.090300) 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 1609089317.

Contact Information

Phillip Arthur Immesoete Ii, MD
335 Glessner Ave Fl Mob2,
Mansfield, OH 44903-2269
(567) 241-7700
(567) 241-7719



Physician's Profile

Full NamePhillip Arthur Immesoete Ii
GenderMale
SpecialityNeurological Surgery
Location335 Glessner Ave Fl Mob2, Mansfield, Ohio
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1609089317
  • Provider Enumeration Date: 05/08/2007
  • Last Update Date: 02/14/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 3870673643
  • Enrollment ID: I20240208004420

Medical Identifiers

Medical identifiers for Phillip Arthur Immesoete Ii such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1609089317NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207T00000XNeurological Surgery 35.090300 (Ohio)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. Phillip Arthur Immesoete Ii allows following entities to bill medicare on his behalf.
Entity NameOhiohealth Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578545273
PECOS PAC ID: 6305758426
Enrollment ID: O20031105000532

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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. Phillip Arthur Immesoete Ii 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
Phillip Arthur Immesoete Ii, MD
Po Box 7527,
Dublin, OH 43017-0727

Ph: () -
Phillip Arthur Immesoete Ii, MD
335 Glessner Ave Fl Mob2,
Mansfield, OH 44903-2269

Ph: (567) 241-7700

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Neurological Surgery Doctors in Mansfield, OH

Dr. Cristina Diana Ghinda, MD, PHD
Neurological Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 335 Glessner Ave Fl Mob2, Mansfield, OH 44903
Phone: 567-241-7700    Fax: 567-241-7719
Dr. Bohdan Wolodymyr Chopko, PHD MD
Neurological Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 39 Wood St, Mansfield, OH 44903
Phone: 419-775-1200    Fax: 419-774-1300

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