Elena Maydan, MD is a medicare enrolled "Dermatology" physician in New City, New York. She went to Js Weill Medical College, Cornell University and graduated in 2000 and has 24 years of diverse experience with area of expertise as Micrographic Dermatologic Surgery (mds). She is a member of the group practice Clark Dermatology Llc, Clark Dermatology Llc, Scott Sanders Md Pllc, Connecticut Skinhealth Llp and her current practice location is
301 N Main St Ste 4, New City, New York. You can reach out to her office (for appointments etc.) via phone at
(845) 499-2017.
Elena Maydan is licensed to practice in Connecticut (license number 44753) 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 1033145255.
Physician's Profile
| Full Name | Elena Maydan |
|---|
| Gender | Female |
|---|
| Speciality | Micrographic Dermatologic Surgery (mds) |
|---|
| Experience | 24 Years |
|---|
| Location | 301 N Main St Ste 4, New City, New York |
|---|
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
|---|
Medical Education and Training:
- Elena Maydan attended and graduated from Js Weill Medical College, Cornell University in 2000
NPI Data:
- NPI Number: 1033145255
- Provider Enumeration Date: 06/23/2006
- Last Update Date: 06/14/2024
Medicare PECOS Information:
- PECOS PAC ID: 6507840113
- Enrollment ID: I20040614000220
Medical Identifiers
Medical identifiers for Elena Maydan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1033145255 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207N00000X | Dermatology | 221520 (New York) | Secondary |
| 207ND0101X | Dermatology - Mohs-micrographic Surgery | 221520 (New York) | Secondary |
| 207ND0101X | Dermatology - Mohs-micrographic Surgery | 44753 (Connecticut) | Secondary |
| 207N00000X | Dermatology | 44753 (Connecticut) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Clark Dermatology Llc | 5395703573 | 44 |
| Clark Dermatology Llc | 5395703573 | 44 |
| Scott Sanders Md Pllc | 7618193038 | 4 |
| Connecticut Skinhealth Llp | 9638309362 | 33 |
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. Elena Maydan allows following entities to bill medicare on her behalf.
| Entity Name | Clark Dermatology Llc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1851562425
PECOS PAC ID: 5395703573
Enrollment ID: O20080920000007 |
|---|
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. Elena Maydan 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 |
|---|
Elena Maydan, MD
2600 Netherland Ave,
Bronx, NY 10463-4801
Ph: () - | Elena Maydan, MD
301 N Main St Ste 4,
New City, NY 10956-4021
Ph: (845) 499-2017 |
Reviews and Comments