Vladimir Fridkin, MD is a medicare enrolled "Dermatology" physician in Fort Drum, New York. His current practice location is
11050 Mount Belvedere Blvd, Fort Drum, New York. You can reach out to his office (for appointments etc.) via phone at
(315) 772-4738.
Vladimir Fridkin is licensed to practice in New York (license number 318248) 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 1093245037.
Physician's Profile
Full Name | Vladimir Fridkin |
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Gender | Male |
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Speciality | Dermatology |
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Location | 11050 Mount Belvedere Blvd, Fort Drum, New York |
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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: 1093245037
- Provider Enumeration Date: 06/13/2017
- Last Update Date: 10/24/2022
Medicare PECOS Information:
- PECOS PAC ID: 0345610275
- Enrollment ID: I20230110001270
Medical Identifiers
Medical identifiers for Vladimir Fridkin such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1093245037 | NPI | - | NPPES |
VAD000 | Medicaid | HI | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207N00000X | Dermatology | 318248 (New York) | 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. Vladimir Fridkin allows following entities to bill medicare on his behalf.
Entity Name | Canton-potsdam Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1568548782 PECOS PAC ID: 6204827280 Enrollment ID: O20040519000761 |
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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. Vladimir Fridkin 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 |
Vladimir Fridkin, MD 11050 Mount Belvedere Blvd, Fort Drum, NY 13602-5438 Ph: (315) 772-4738 | Vladimir Fridkin, MD 11050 Mount Belvedere Blvd, Fort Drum, NY 13602-5438 Ph: (315) 772-4738 |
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