Mikhail Tetrok, DO - Medicare in New York, NY

Mikhail Tetrok, DO is a medicare enrolled "Family Medicine" physician in New York, New York. His current practice location is 4290 Broadway Ste 2s, New York, New York. You can reach out to his office (for appointments etc.) via phone at (212) 781-5075.

Mikhail Tetrok is licensed to practice in New York (license number 211321) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1922183391.

Contact Information

Mikhail Tetrok, DO
4290 Broadway Ste 2s,
New York, NY 10033-3732
(212) 781-5075
(212) 781-4823

Map and Direction




Physician's Profile

Full NameMikhail Tetrok
GenderMale
Speciality
Experience Years
Location4290 Broadway Ste 2s, New York, New York
Accepts Medicare AssignmentsMay be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mikhail Tetrok attended and graduated from in
  NPI Data:
  • NPI Number: 1922183391
  • Provider Enumeration Date: 10/26/2006
  • Last Update Date: 02/24/2015
  Medicare PECOS Information:
  • PECOS PAC ID:
  • Enrollment ID:

Medical Identifiers

Medical identifiers for Mikhail Tetrok such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1922183391NPI-NPPES
00695941MedicaidNY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 211321 (New York)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. Mikhail Tetrok 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 AddressPractice Location Address
Mikhail Tetrok, DO
4290 Broadway Ste 2s,
New York, NY 10033-3732

Ph: (212) 781-5075
Mikhail Tetrok, DO
4290 Broadway Ste 2s,
New York, NY 10033-3732

Ph: (212) 781-5075

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.