Oleksandr Kachanov, MD is a medicare enrolled "Pediatrics - Pediatric Critical Care Medicine" physician in Aberdeen, South Dakota. His current practice location is
105 S State St, Ste 113, Aberdeen, South Dakota. You can reach out to his office (for appointments etc.) via phone at
(605) 225-0378.
Oleksandr Kachanov is licensed to practice in South Dakota (license number 9898) 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 1629345723.
Physician's Profile
Full Name | Oleksandr Kachanov |
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Gender | Male |
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Speciality | Pediatrics - Pediatric Critical Care Medicine |
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Location | 105 S State St, Aberdeen, South Dakota |
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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: 1629345723
- Provider Enumeration Date: 11/17/2011
- Last Update Date: 11/23/2016
Medicare PECOS Information:
- PECOS PAC ID: 8123323177
- Enrollment ID: I20160229002364
Medical Identifiers
Medical identifiers for Oleksandr Kachanov such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1629345723 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2080P0203X | Pediatrics - Pediatric Critical Care Medicine | 125060731 (Illinois) | Secondary |
2080P0203X | Pediatrics - Pediatric Critical Care Medicine | 9898 (South Dakota) | 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. Oleksandr Kachanov 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 |
Oleksandr Kachanov, MD Po Box 1460, Aberdeen, SD 57402-1460 Ph: (605) 225-0378 | Oleksandr Kachanov, MD 105 S State St, Ste 113, Aberdeen, SD 57401-4501 Ph: (605) 225-0378 |
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