Dr Artem Krutyansky, DMD MD MPH is a medicare enrolled "Dentist - Oral And Maxillofacial Surgery" physician in New York, New York. His current practice location is
630 W 168th St, New York, New York. You can reach out to his office (for appointments etc.) via phone at
(212) 305-4552.
Dr Artem Krutyansky is licensed to practice in New York (license number 064142-01) 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 1710411525.
Physician's Profile
| Full Name | Dr Artem Krutyansky |
|---|
| Gender | Male |
|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
|---|
| Location | 630 W 168th St, New York, 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: 1710411525
- Provider Enumeration Date: 04/18/2017
- Last Update Date: 02/04/2025
Medicare PECOS Information:
- PECOS PAC ID: 2163961277
- Enrollment ID: I20240903001489
Medical Identifiers
Medical identifiers for Dr Artem Krutyansky such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1710411525 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 204E00000X | Oral & Maxillofacial Surgery | 236 (Oklahoma) | Secondary |
| 208600000X | Surgery | 40017 (Oklahoma) | Secondary |
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 064142-01 (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. Dr Artem Krutyansky allows following entities to bill medicare on his behalf.
| Entity Name | Trustees Of Columbia University In The City Of New York |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1508266347
PECOS PAC ID: 8527972546
Enrollment ID: O20151201002613 |
|---|
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. Dr Artem Krutyansky 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 |
|---|
Dr Artem Krutyansky, DMD MD MPH
630 W 168th St Rm 250,
New York, NY 10032-3725
Ph: (212) 305-4552 | Dr Artem Krutyansky, DMD MD MPH
630 W 168th St,
New York, NY 10032-3725
Ph: (212) 305-4552 |
Reviews and Comments