Artem Dyatlov, MD in Bridgeport, CT - Medicare General Surgery

Artem Dyatlov, MD is a medicare enrolled "Surgery" physician in Bridgeport, Connecticut. He graduated from medical school in 2006 and has 18 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Hartford Healthcare Medical Group Specialists Pllc and his current practice location is 2660 Main St Ste 110, Bridgeport, Connecticut. You can reach out to his office (for appointments etc.) via phone at (203) 332-4744.

Artem Dyatlov is licensed to practice in Connecticut (license number 64955) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1316378615.

Contact Information

	Artem Dyatlov, MD
	2660 Main St Ste 110, Bridgeport, CT 06606-5301
	(203) 332-4744
	Not Available

Map and Direction

Physician's Profile

Full Name	Artem Dyatlov
Gender	Male
Speciality	General Surgery
Experience	18 Years
Location	2660 Main St Ste 110, Bridgeport, Connecticut
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Artem Dyatlov graduated from medical school in 2006

NPI Data:

NPI Number: 1316378615
Provider Enumeration Date: 12/11/2013
Last Update Date: 10/18/2021

Medicare PECOS Information:

PECOS PAC ID: 7416211974
Enrollment ID: I20200730001554

Medical Identifiers

Medical identifiers for Artem Dyatlov such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1316378615	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	MD462842 (Pennsylvania)	Secondary
208600000X	Surgery	64955 (Connecticut)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
St. Vincent's Medical Center	Bridgeport, CT	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Hartford Healthcare Medical Group Specialists Pllc	3173866241	1180

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. Artem Dyatlov allows following entities to bill medicare on his behalf.

Entity Name	St. Vincent's Multispecialty Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043544489 PECOS PAC ID: 6204977218 Enrollment ID: O20100112000538

Entity Name	Hartford Healthcare Medical Group Specialists Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023584216 PECOS PAC ID: 3173866241 Enrollment ID: O20190514001441

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. Artem Dyatlov 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
Artem Dyatlov, MD 2660 Main St Ste 110, Bridgeport, CT 06606-5301 Ph: (203) 332-4744	Artem Dyatlov, MD 2660 Main St Ste 110, Bridgeport, CT 06606-5301 Ph: (203) 332-4744

Reviews and Comments

Surgery Doctors in Bridgeport, CT

Dr. Jitendra Bhagwandas Bharucha, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 2660 Main St, Suite 110, Bridgeport, CT 06606 Phone: 203-332-4744 Fax: 203-333-4751
Dr. Vincent A Manjoney Jr., MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 2720 Main St, 3rd Floor South, Bridgeport, CT 06606 Phone: 203-579-7500 Fax: 203-576-0035
Andrew S Kenler, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 226 Mill Hill Ave, 3rd Floor, Bridgeport, CT 06610 Phone: 203-384-3873 Fax: 203-384-3829
William R Butler, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 226 Mill Hill Ave, 3rd Floor, Bridgeport, CT 06610 Phone: 203-384-3873 Fax: 203-384-3829
Dr. Felix B Mpuku, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 3180 Main St, Suite 305, Bridgeport, CT 06606 Phone: 203-372-6322 Fax: 203-371-8930
Alisa Savetamal, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 226 Mill Hill Ave, 3rd Floor, Bridgeport, CT 06610 Phone: 203-384-3873 Fax: 203-384-3829
Eric Tsung, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 267 Grant St, Bridgeport, CT 06610 Phone: 203-384-3000

Artem Dyatlov, MD - Medicare General Surgery in Bridgeport, CT