Konstantin Sergeyevich Tsymbalov, DO is a medicare enrolled "Physical Medicine & Rehabilitation - Pain Medicine" physician in Acworth, Georgia. He graduated from medical school in 2009 and has 15 years of diverse experience with area of expertise as Physical Medicine And Rehabilitation. His current practice location is
3459 Acworth Due West Rd Nw Ste 117, Acworth, Georgia. You can reach out to his office (for appointments etc.) via phone at
(678) 521-1105.
Konstantin Sergeyevich Tsymbalov is licensed to practice in Georgia (license number 74411) 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 1750607586.
Physician's Profile
| Full Name | Konstantin Sergeyevich Tsymbalov |
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| Gender | Male |
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| Speciality | Physical Medicine And Rehabilitation |
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| Experience | 15 Years |
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| Location | 3459 Acworth Due West Rd Nw Ste 117, Acworth, Georgia |
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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:
- Konstantin Sergeyevich Tsymbalov graduated from medical school in 2009
NPI Data:
- NPI Number: 1750607586
- Provider Enumeration Date: 04/19/2010
- Last Update Date: 08/14/2020
Medicare PECOS Information:
- PECOS PAC ID: 4981822525
- Enrollment ID: I20151111000440
Medical Identifiers
Medical identifiers for Konstantin Sergeyevich Tsymbalov such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1750607586 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2081P2900X | Physical Medicine & Rehabilitation - Pain Medicine | 74411 (Georgia) | Primary |
Medical Facilities Affiliation
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. Konstantin Sergeyevich Tsymbalov allows following entities to bill medicare on his behalf.
| Entity Name | Back To Life Pain Center Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1982172060
PECOS PAC ID: 8022354091
Enrollment ID: O20190111001524 |
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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. Konstantin Sergeyevich Tsymbalov 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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Konstantin Sergeyevich Tsymbalov, DO
410 Creekstone Rdg,
Woodstock, GA 30188-3740
Ph: (678) 909-0911 | Konstantin Sergeyevich Tsymbalov, DO
3459 Acworth Due West Rd Nw Ste 117,
Acworth, GA 30101-5820
Ph: (678) 521-1105 |
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