Michael Fedorovsky, DO is a
Student In An Organized Health Care Education/training Program physician based in Bayonne, New Jersey. Michael Fedorovsky is licensed to practice in New Jersey (license number ) and his current practice location is 29 E 29th St, Bayonne, New Jersey. He can be reached at his office (for appointments etc.) via phone at
(201) 858-6596.
NPI number for Michael Fedorovsky is 1225725070 and his current mailing address is 42 Boundary Ave, Staten Island, New York. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1225725070.
Physician's Profile
| Full Name | Michael Fedorovsky |
|---|
| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 29 E 29th St, Bayonne, 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: 1225725070
- Provider Enumeration Date: 04/21/2023
- Last Update Date: 10/03/2024
Medical Identifiers
Medical identifiers for Michael Fedorovsky such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1225725070 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208D00000X | General Practice | 332980-01 (New York) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (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. Michael Fedorovsky 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 |
|---|
Michael Fedorovsky, DO
42 Boundary Ave,
Staten Island, NY 10306-5206
Ph: (646) 549-2544 | Michael Fedorovsky, DO
29 E 29th St,
Bayonne, NJ 07002-4654
Ph: (201) 858-6596 |
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