Maksym Ruzanov, DMD is a medicare enrolled "Dentist" provider in Holmes Beach, Florida. His current practice location is
3909 E Bay Dr Ste 205, Holmes Beach, Florida. You can reach out to his office (for appointments etc.) via phone at
(941) 778-2204.
Maksym Ruzanov is licensed to practice in Florida (license number DN22016) 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 1134572498.
Healthcare Provider's Profile
Full Name | Maksym Ruzanov |
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Gender | Male |
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Speciality | Dentist |
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Location | 3909 E Bay Dr Ste 205, Holmes Beach, Florida |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1134572498
- Provider Enumeration Date: 07/21/2016
- Last Update Date: 09/05/2019
Medicare PECOS Information:
- PECOS PAC ID: 1153600986
- Enrollment ID: I20161117001566
Medical Identifiers
Medical identifiers for Maksym Ruzanov such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1134572498 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
122300000X | Dentist | DN22016 (Florida) | Primary |
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. Maksym Ruzanov 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 |
Maksym Ruzanov, DMD 1505 Mallard Ln, Sarasota, FL 34239-3750 Ph: () - | Maksym Ruzanov, DMD 3909 E Bay Dr Ste 205, Holmes Beach, FL 34217-1990 Ph: (941) 778-2204 |
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