Dr Larisa Ravitskiy, MD is a medicare enrolled "Dermatology - Mohs-micrographic Surgery" physician in New Albany, Ohio. She went to New York University School Of Medicine and graduated in 2002 and has 22 years of diverse experience with area of expertise as Dermatology. Her current practice location is
5040 Forest Dr Ste 200, New Albany, Ohio. You can reach out to her office (for appointments etc.) via phone at
(614) 585-5500.
Dr Larisa Ravitskiy is licensed to practice in Ohio (license number 35092083) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1144230905.
Physician's Profile
| Full Name | Dr Larisa Ravitskiy |
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| Gender | Female |
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| Speciality | Dermatology |
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| Experience | 22 Years |
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| Location | 5040 Forest Dr Ste 200, New Albany, Ohio |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Larisa Ravitskiy attended and graduated from New York University School Of Medicine in 2002
NPI Data:
- NPI Number: 1144230905
- Provider Enumeration Date: 08/08/2006
- Last Update Date: 08/07/2024
Medicare PECOS Information:
- PECOS PAC ID: 2466457205
- Enrollment ID: I20080821000448
Medical Identifiers
Medical identifiers for Dr Larisa Ravitskiy such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1144230905 | NPI | - | NPPES |
| 2901560 | Medicaid | OH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207N00000X | Dermatology | 41743 (Arizona) | Secondary |
| 207ND0101X | Dermatology - Mohs-micrographic Surgery | 35092083 (Ohio) | Primary |
| 207N00000X | Dermatology | 35092083 (Ohio) | Secondary |
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 Larisa Ravitskiy allows following entities to bill medicare on her behalf.
| Entity Name | The Metrohealth System |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1053353896
PECOS PAC ID: 8628982949
Enrollment ID: O20031119000355 |
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| Entity Name | Ohio Skin Cancer Institute Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1508197112
PECOS PAC ID: 1355479213
Enrollment ID: O20100513000547 |
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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. Dr Larisa Ravitskiy 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 |
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Dr Larisa Ravitskiy, MD
602 Morrison Rd,
Gahanna, OH 43230-5342
Ph: (614) 585-9900 | Dr Larisa Ravitskiy, MD
5040 Forest Dr Ste 200,
New Albany, OH 43054-8166
Ph: (614) 585-5500 |
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