Mr Alexander Gavronsky, MS, RD in Staten Island, NY - Medicare Dietitian, Registered Provider

Mr Alexander Gavronsky, MS, RD is a medicare enrolled "Dietitian, Registered" provider in Staten Island, New York. His current practice location is 475 Seaview Ave, Staten Island University Hospital, Staten Island, New York. You can reach out to his office (for appointments etc.) via phone at (718) 226-5413.

Mr Alexander Gavronsky is licensed to practice in New York (license number 86053650) 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 1659811271.

Contact Information

	Mr Alexander Gavronsky, MS, RD
	475 Seaview Ave, Staten Island University Hospital, Staten Island, NY 10305-3436
	(718) 226-5413
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Alexander Gavronsky
Gender	Male
Speciality	Dietitian, Registered
Location	475 Seaview Ave, Staten Island, 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: 1659811271
Provider Enumeration Date: 03/01/2017
Last Update Date: 03/01/2017

Medicare PECOS Information:

PECOS PAC ID: 7517322506
Enrollment ID: I20230426001728

Medical Identifiers

Medical identifiers for Mr Alexander Gavronsky such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1659811271	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	86053650 (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. Mr Alexander Gavronsky allows following entities to bill medicare on his behalf.

Provider Name	Boro Park Nutrition Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1821511262 PECOS PAC ID: 7012334402 Enrollment ID: O20200701001351

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. Mr Alexander Gavronsky 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
Mr Alexander Gavronsky, MS, RD 545 Neptune Ave Apt 11g, Brooklyn, NY 11224-4050 Ph: (646) 338-7126	Mr Alexander Gavronsky, MS, RD 475 Seaview Ave, Staten Island University Hospital, Staten Island, NY 10305-3436 Ph: (718) 226-5413

Reviews and Comments

Dietitian, Registered in Staten Island, NY

Ms. Karla E Journey, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 17 Azalea Ct, Staten Island, NY 10309 Phone: 917-543-1077
Emily Cardoza, MS, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 126 Collfield Ave, Staten Island, NY 10302 Phone: 347-838-0922
China Lily Mae Reichert, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 159 Franklin Ave, Staten Island, NY 10301 Phone: 347-256-2810
Yvonne Gee Mei, RD, CDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 777 Seaview Ave, Staten Island, NY 10305 Phone: 718-667-2358
Mrs. Inaiat Soliman, DIETITIAN CDN STATE Dietitian Medicare: Not Enrolled in Medicare Practice Location: 178 Morrison Ave, Staten Island, NY 10310 Phone: 908-380-3087 Fax: 718-442-3646
Valeriya Semenova, Dietitian Medicare: Medicare Enrolled Practice Location: 16 Fairlawn Loop, Staten Island, NY 10308 Phone: 646-675-4415
Nicole Scarangello, MS, RD, CDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 114 Bentley St, Staten Island, NY 10307 Phone: 917-714-2413

Mr Alexander Gavronsky, MS, RD - Medicare Dietitian in Staten Island, NY