Stanislav Zinkovsky, OTR, PA-C is a medicare enrolled "Physician Assistant" provider in Southfield, Michigan. His current practice location is
22972 Lahser Rd, Southfield, Michigan. You can reach out to his office (for appointments etc.) via phone at
(248) 353-0079.
Stanislav Zinkovsky is licensed to practice in Michigan (license number 5601005165) 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 1689706525.
Healthcare Provider's Profile
Full Name | Stanislav Zinkovsky |
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Gender | Male |
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Speciality | Physician Assistant |
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Location | 22972 Lahser Rd, Southfield, Michigan |
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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: 1689706525
- Provider Enumeration Date: 03/09/2007
- Last Update Date: 10/15/2015
Medicare PECOS Information:
- PECOS PAC ID: 2567550783
- Enrollment ID: I20071121000228
Medical Identifiers
Medical identifiers for Stanislav Zinkovsky such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1689706525 | NPI | - | NPPES |
670H202270 | Other | MI | BCBS |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225X00000X | Occupational Therapist | 520106097 (Michigan) | Secondary |
363A00000X | Physician Assistant | 5601005165 (Michigan) | 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. Stanislav Zinkovsky 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 |
Stanislav Zinkovsky, OTR, PA-C 5305 Langlewood Dr, West Bloomfield, MI 48322-2021 Ph: (248) 819-0470 | Stanislav Zinkovsky, OTR, PA-C 22972 Lahser Rd, Southfield, MI 48033-4408 Ph: (248) 353-0079 |
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