Dr Sergei Kochlatyi, MD is a medicare enrolled "Internal Medicine" physician in Cresskill, New Jersey. He graduated from medical school in 1993 and has 31 years of diverse experience with area of expertise as Internal Medicine. His current practice location is
110 5th St, Cresskill, New Jersey. You can reach out to his office (for appointments etc.) via phone at
(917) 974-7172.
Dr Sergei Kochlatyi is licensed to practice in New York (license number 218265) 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 1104877836.
Physician's Profile
| Full Name | Dr Sergei Kochlatyi |
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| Gender | Male |
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| Speciality | Internal Medicine |
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| Experience | 31 Years |
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| Location | 110 5th St, Cresskill, New Jersey |
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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 Sergei Kochlatyi graduated from medical school in 1993
NPI Data:
- NPI Number: 1104877836
- Provider Enumeration Date: 05/15/2006
- Last Update Date: 12/28/2010
Medicare PECOS Information:
- PECOS PAC ID: 7315939550
- Enrollment ID: I20040330001520
Medical Identifiers
Medical identifiers for Dr Sergei Kochlatyi such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1104877836 | NPI | - | NPPES |
| 02142469 | Medicaid | NY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | 218265 (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 Sergei Kochlatyi allows following entities to bill medicare on his behalf.
| Entity Name | Health And Endurance Medical Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1801044821
PECOS PAC ID: 2567520539
Enrollment ID: O20081020000373 |
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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 Sergei Kochlatyi 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 Sergei Kochlatyi, MD
110 5th St,
Cresskill, NJ 07626-2002
Ph: (917) 974-7172 | Dr Sergei Kochlatyi, MD
110 5th St,
Cresskill, NJ 07626-2002
Ph: (917) 974-7172 |
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