Tatyana Petukhova, MD, MS in New York, NY

Tatyana Petukhova, MD, MS is a medicare enrolled "Dermatology - Mohs-micrographic Surgery" physician in New York, New York. She went to Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University and graduated in 2013 and has 11 years of diverse experience with area of expertise as Dermatology. She is a member of the group practice Union Square Laser Dermatology, Weill Medical College Of Cornell and her current practice location is 156 William St Fl 11, New York, New York. You can reach out to her office (for appointments etc.) via phone at (646) 962-3376.

Tatyana Petukhova is licensed to practice in New York (license number 293685) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1528300878.

Contact Information

	Tatyana Petukhova, MD, MS
	156 William St Fl 11, New York, NY 10038-5323
	(646) 962-3376
	Not Available

Map and Direction

Physician's Profile

Full Name	Tatyana Petukhova
Gender	Female
Speciality	Dermatology
Experience	11 Years
Location	156 William St Fl 11, New York, New York
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Tatyana Petukhova attended and graduated from Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University in 2013

NPI Data:

NPI Number: 1528300878
Provider Enumeration Date: 03/25/2013
Last Update Date: 01/11/2019

Medicare PECOS Information:

PECOS PAC ID: 2365792363
Enrollment ID: I20180913000481

Medical Identifiers

Medical identifiers for Tatyana Petukhova such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1528300878	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207N00000X	Dermatology	A131981 (California)	Secondary
207NS0135X	Dermatology - Procedural Dermatology	293685 (New York)	Secondary
207ND0101X	Dermatology - Mohs-micrographic Surgery	293685 (New York)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Union Square Laser Dermatology	6204000128	4
Weill Medical College Of Cornell	6800709023	1644

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. Tatyana Petukhova allows following entities to bill medicare on her behalf.

Entity Name	Weill Medical College Of Cornell
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124170212 PECOS PAC ID: 6800709023 Enrollment ID: O20031118000661

Entity Name	Union Square Laser Dermatology
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1487936308 PECOS PAC ID: 6204000128 Enrollment ID: O20111110000646

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. Tatyana Petukhova 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
Tatyana Petukhova, MD, MS 3301 C St Ste 1300, Uc Davis Department Of Dermatology, Sacramento, CA 95816-3370 Ph: (408) 885-6300	Tatyana Petukhova, MD, MS 156 William St Fl 11, New York, NY 10038-5323 Ph: (646) 962-3376

Reviews and Comments

Dermatology Doctors in New York, NY

Dr. Elizabeth Anne Konecky, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 424 W End Ave, 8f, New York, NY 10024 Phone: 212-362-2609 Fax: 212-362-2609
Liang Deng, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1275 York Ave, New York, NY 10021 Phone: 646-227-3813
Dr. Andrea Nandini Persaud, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 215 East 95th Street, New York, NY 10128 Phone: 212-996-8000 Fax: 212-423-3127
Dr. Arash Akhavan, M.D., F.A.A.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 200 W 57th St, Suite 510, New York, NY 10019 Phone: 212-444-8204
Dr. Morgan Erica Rabach, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 33 5th Ave, 1b, New York, NY 10003 Phone: 212-777-2272 Fax: 212-777-2274
Dr. Robert Lynn Finney Jr., M.D. Dermatology Medicare: Medicare Enrolled Practice Location: 73 Spring St Rm 303, New York, NY 10012 Phone: 212-431-4749
Katherine Siamas, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 445 E 58th St, New York, NY 10022 Phone: 212-838-0270

Tatyana Petukhova, MD, MS - Medicare Dermatology in New York, NY