Dr Petr Itzhak, DO is a medicare enrolled "Obstetrics & Gynecology" physician in Glendale, New York. His current practice location is
6805 Myrtle Ave, Glendale, New York. You can reach out to his office (for appointments etc.) via phone at
(718) 366-2242.
Dr Petr Itzhak is licensed to practice in New York (license number 234430) 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 1801843412.
Physician's Profile
| Full Name | Dr Petr Itzhak |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 6805 Myrtle Ave, Glendale, New York |
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| Accepts Medicare Assignments | Yes. He 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 Petr Itzhak attended and graduated from in
NPI Data:
- NPI Number: 1801843412
- Provider Enumeration Date: 05/28/2006
- Last Update Date: 08/07/2007
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Petr Itzhak such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1801843412 | NPI | - | NPPES |
| 02669836 | Medicaid | NY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207V00000X | Obstetrics & Gynecology | 234430 (New York) | Primary |
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 Petr Itzhak 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 Petr Itzhak, DO
6805 Myrtle Ave,
Glendale, NY 11385-7267
Ph: (718) 366-2242 | Dr Petr Itzhak, DO
6805 Myrtle Ave,
Glendale, NY 11385-7267
Ph: (718) 366-2242 |
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