Avraham Kolontarov, in Brooklyn, NY - Medicare Dentist Provider

Avraham Kolontarov, is a medicare enrolled "Dentist - Dental Public Health" provider in Brooklyn, New York. His current practice location is 1502 E 14th St, Brooklyn, New York. You can reach out to his office (for appointments etc.) via phone at (718) 709-4611.

Avraham Kolontarov is licensed to practice in New York (license number 061926) 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 1336763614.

Contact Information

	Avraham Kolontarov,
	1502 E 14th St, Brooklyn, NY 11230-7283
	(718) 709-4611
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Avraham Kolontarov
Gender	Male
Speciality	Dentist - Dental Public Health
Location	1502 E 14th St, Brooklyn, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1336763614
Provider Enumeration Date: 06/03/2020
Last Update Date: 12/07/2023

Medicare PECOS Information:

PECOS PAC ID: 2567812464
Enrollment ID: I20231219000271

Medical Identifiers

Medical identifiers for Avraham Kolontarov such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1336763614	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223D0001X	Dentist - Dental Public Health	061926 (New York)	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. Avraham Kolontarov allows following entities to bill medicare on his behalf.

Entity Name	Up Dental Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225290547 PECOS PAC ID: 7517313109 Enrollment ID: O20231102002690

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. Avraham Kolontarov 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 Address	Practice Location Address
Avraham Kolontarov, 8410 126th St Apt 2, Kew Gardens, NY 11415-2206 Ph: (347) 430-7582	Avraham Kolontarov, 1502 E 14th St, Brooklyn, NY 11230-7283 Ph: (718) 709-4611

Reviews and Comments

Dentist in Brooklyn, NY

Dr. Vladimir Bukrinsky, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1632 E 18th St, Suite A-1, Brooklyn, NY 11229 Phone: 718-382-5565 Fax: 718-382-5590
Dr. Joon Seung Lee, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 7523 Fort Hamilton Pkwy, Brooklyn, NY 11228 Phone: 718-238-4133 Fax: 718-238-9843
Dr. Dmitry Epelboym, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 7708 4th Ave, Brooklyn, NY 11209 Phone: 718-491-3100 Fax: 718-491-2140
Mark Scott Gilbert, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 924 Avenue O, Brooklyn, NY 11230 Phone: 718-376-0022
Dr. Jeannine M Ferriola, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1701 Bay Ridge Pkwy, Brooklyn, NY 11204 Phone: 718-236-0769 Fax: 718-975-0323
Jonelle Cox, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 3400 Snyder Ave, Suite 1b, Brooklyn, NY 11203 Phone: 855-693-7269 Fax: 888-864-8390
Dr. Antonella Milio, DMD Dentist Medicare: Medicare Enrolled Practice Location: 3030 Emmons Ave Apt 4u, Brooklyn, NY 11235 Phone: 914-837-3635

Avraham Kolontarov, - Medicare Dentist in Brooklyn, NY