Dr Dmitriy Khazron, DO is a medicare enrolled "Internal Medicine" provider in Staten Island, New York. He graduated from healthcare school in 2012 and has 12 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Coney Island Medical Practice Plan, P.c. and his current practice location is
475 Seaview Ave, Staten Island, New York. You can reach out to his office (for appointments etc.) via phone at
(718) 226-1008.
Dr Dmitriy Khazron is licensed to practice in New York (license number 279834) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1851575724.
Healthcare Provider's Profile
| Full Name | Dr Dmitriy Khazron |
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| Gender | Male |
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| Speciality | Internal Medicine |
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| Experience | 12 Years |
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| Location | 475 Seaview Ave, Staten Island, New York |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Dmitriy Khazron graduated from medical school in 2012
NPI Data:
- NPI Number: 1851575724
- Provider Enumeration Date: 12/27/2007
- Last Update Date: 07/02/2015
Medicare PECOS Information:
- PECOS PAC ID: 4385950393
- Enrollment ID: I20150904000709
Medical Identifiers
Medical identifiers for Dr Dmitriy Khazron such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1851575724 | NPI | - | NPPES |
| 01580634 | Medicaid | NY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 183500000X | Pharmacist | 051901 (New York) | Secondary |
| 207R00000X | Internal Medicine | 279834 (New York) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Coney Island Medical Practice Plan, P.c. | 5496944803 | 319 |
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. Dr Dmitriy Khazron allows following entities to bill medicare on his behalf.
| Entity Name | Physicians Of University Hospital Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1417901323
PECOS PAC ID: 5890877542
Enrollment ID: O20080204000002 |
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| Entity Name | Coney Island Medical Practice Plan, P.c. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1386951762
PECOS PAC ID: 5496944803
Enrollment ID: O20110114000660 |
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| Entity Name | Physician Affiliate Group Of New York Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1013375526
PECOS PAC ID: 4688098833
Enrollment ID: O20200721001270 |
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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. Dr Dmitriy Khazron 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 |
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Dr Dmitriy Khazron, DO
915 East 7 Street, Apt. 5g,
Brooklyn, NY 11230
Ph: (718) 338-3247 | Dr Dmitriy Khazron, DO
475 Seaview Ave,
Staten Island, NY 10305-3436
Ph: (718) 226-1008 |
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