Vitaly Nazarov, MD is a medicare enrolled "Pediatrics" physician in Gt Barrington, Massachusetts. His current practice location is
100 Maple Ave Ste 1, Gt Barrington, Massachusetts. You can reach out to his office (for appointments etc.) via phone at
(413) 528-4047.
Vitaly Nazarov is licensed to practice in Massachusetts (license number 233988) 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 1811165350.
Physician's Profile
Full Name | Vitaly Nazarov |
---|
Gender | Male |
---|
Speciality | Pediatrics |
---|
Location | 100 Maple Ave Ste 1, Gt Barrington, Massachusetts |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1811165350
- Provider Enumeration Date: 02/19/2008
- Last Update Date: 12/17/2014
Medicare PECOS Information:
- PECOS PAC ID: 1658500897
- Enrollment ID: I20140210000955
Medical Identifiers
Medical identifiers for Vitaly Nazarov such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1811165350 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | 233988 (Massachusetts) | Primary |
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. Vitaly Nazarov allows following entities to bill medicare on his behalf.
Entity Name | Berkshire Faculty Services Inc |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1548212939 PECOS PAC ID: 8224068424 Enrollment ID: O20050817001122 |
---|
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. Vitaly Nazarov 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 |
Vitaly Nazarov, MD 100 Maple Ave Ste 1, Gt Barrington, MA 01230-1965 Ph: (413) 528-4047 | Vitaly Nazarov, MD 100 Maple Ave Ste 1, Gt Barrington, MA 01230-1965 Ph: (413) 528-4047 |
Reviews and Comments