Loki Skylizard, MD is a
Thoracic Surgery (cardiothoracic Vascular Surgery) physician based in Long Branch, New Jersey. Loki Skylizard is licensed to practice in New Jersey (license number 25MA09252000) and his current practice location is 166 Morris Ave, 2nd Fl, Long Branch, New Jersey. He can be reached at his office (for appointments etc.) via phone at
(732) 263-5024.
NPI number for Loki Skylizard is 1326110081 and his current mailing address is Po Box 8000, Dept 596, Buffalo, New York. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1326110081.
Physician's Profile
| Full Name | Loki Skylizard |
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| Gender | Male |
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| Speciality | Thoracic Surgery (cardiothoracic Vascular Surgery) |
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| Location | 166 Morris Ave, Long Branch, New Jersey |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1326110081
- Provider Enumeration Date: 11/15/2006
- Last Update Date: 03/14/2013
Medical Identifiers
Medical identifiers for Loki Skylizard such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1326110081 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208600000X | Surgery | 219576 (Massachusetts) | Secondary |
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | MD28398 (Alabama) | Secondary |
| 2086S0129X | Surgery - Vascular Surgery | MD442847 (Pennsylvania) | Secondary |
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 25MA09252000 (New Jersey) | 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. Loki Skylizard is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Loki Skylizard, MD
Po Box 8000, Dept 596,
Buffalo, NY 14267-0002
Ph: (866) 295-0041 | Loki Skylizard, MD
166 Morris Ave, 2nd Fl,
Long Branch, NJ 07740-6619
Ph: (732) 263-5024 |
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