Ihor Alexander Krynycky, MD is a medicare enrolled "Otolaryngology" physician in Gaylord, Michigan. His current practice location is
829 N Center Ave, Suite 260, Gaylord, Michigan. You can reach out to his office (for appointments etc.) via phone at
(989) 731-7729.
Ihor Alexander Krynycky is licensed to practice in Michigan (license number 4301060478) 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 1508897281.
Physician's Profile
Full Name | Ihor Alexander Krynycky |
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Gender | Male |
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Speciality | Otolaryngology |
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Location | 829 N Center Ave, Gaylord, Michigan |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1508897281
- Provider Enumeration Date: 07/05/2006
- Last Update Date: 01/18/2008
Medicare PECOS Information:
- PECOS PAC ID: 4385624709
- Enrollment ID: I20160629000817
Medical Identifiers
Medical identifiers for Ihor Alexander Krynycky such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1508897281 | NPI | - | NPPES |
DA0074 | Other | | MEDICARE RR PROV ID |
0406910201 | Other | MI | BCBSM PROVIDER NUMBER |
4605008 | Medicaid | MI | |
11383155 | Other | | CAQH PROVIDER ID |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Y00000X | Otolaryngology | 4301060478 (Michigan) | 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. Ihor Alexander Krynycky 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 |
Ihor Alexander Krynycky, MD 829 N Center Ave, Suite 260, Gaylord, MI 49735-1595 Ph: (989) 731-7729 | Ihor Alexander Krynycky, MD 829 N Center Ave, Suite 260, Gaylord, MI 49735-1595 Ph: (989) 731-7729 |
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