Vyacheslav Sozonov, DNAP is a medicare enrolled "Anesthesiology" in Lawrenceville, Georgia. His current practice location is
1173 Simonton Hill Ct, Lawrenceville, Georgia. You can reach out to his office (for appointments etc.) via phone at
(470) 314-9263.
Vyacheslav Sozonov is licensed to practice in Georgia (license number RN258560) 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 1245800580.
Provider's Profile
Full Name | Vyacheslav Sozonov |
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Gender | Male |
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Speciality | Anesthesiology |
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Location | 1173 Simonton Hill Ct, Lawrenceville, Georgia |
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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: 1245800580
- Provider Enumeration Date: 06/29/2021
- Last Update Date: 01/28/2025
Medicare PECOS Information:
- PECOS PAC ID: 4789060278
- Enrollment ID: I20221006002428
Medical Identifiers
Medical identifiers for Vyacheslav Sozonov such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1245800580 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163W00000X | Registered Nurse | RN258560 (Georgia) | Secondary |
207L00000X | Anesthesiology | RN258560 (Georgia) | 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. Vyacheslav Sozonov allows following entities to bill medicare on his behalf.
Entity Name | Sandusky Anesthesia Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1770907859 PECOS PAC ID: 3274895271 Enrollment ID: O20180402000752 |
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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. Vyacheslav Sozonov 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 |
Vyacheslav Sozonov, DNAP 1173 Simonton Hill Ct, Lawrenceville, GA 30045-3532 Ph: (470) 314-9263 | Vyacheslav Sozonov, DNAP 1173 Simonton Hill Ct, Lawrenceville, GA 30045-3532 Ph: (470) 314-9263 |
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