Yuliya Petukhova, MD, DDS is a medicare enrolled "Oral & Maxillofacial Surgery" provider in Rochester, Minnesota. Her current practice location is
200 1st St Sw, Rochester, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(507) 284-2511.
Yuliya Petukhova is licensed to practice in Minnesota (license number 77495) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1285253112.
Healthcare Provider's Profile
Full Name | Yuliya Petukhova |
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Gender | Female |
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Speciality | Oral & Maxillofacial Surgery |
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Location | 200 1st St Sw, Rochester, Minnesota |
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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: 1285253112
- Provider Enumeration Date: 04/10/2020
- Last Update Date: 09/09/2024
Medicare PECOS Information:
- PECOS PAC ID: 4981028453
- Enrollment ID: I20200717000293
Medical Identifiers
Medical identifiers for Yuliya Petukhova such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1285253112 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
122300000X | Dentist | D14456 (Minnesota) | Secondary |
1223S0112X | Dentist - Oral And Maxillofacial Surgery | 77495 (Minnesota) | Secondary |
1223S0112X | Dentist - Oral And Maxillofacial Surgery | D14456 (Minnesota) | Secondary |
204E00000X | Oral & Maxillofacial Surgery | 77495 (Minnesota) | 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. Yuliya Petukhova allows following entities to bill medicare on her behalf.
Entity Name | Mayo Clinic |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1922074434 PECOS PAC ID: 6507778255 Enrollment ID: O20031103000285 |
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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. Yuliya Petukhova 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 |
Yuliya Petukhova, MD, DDS 200 1st St Sw, Rochester, MN 55905-0001 Ph: (507) 284-2511 | Yuliya Petukhova, MD, DDS 200 1st St Sw, Rochester, MN 55905-0001 Ph: (507) 284-2511 |
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