Alexander Popov, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" provider in Brooklyn, New York. His current practice location is
374 Stockholm St, Brooklyn, New York. You can reach out to his office (for appointments etc.) via phone at
(718) 963-7586.
Alexander Popov is licensed to practice in * (Not Available) (license number ) 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 1902066103.
Healthcare Provider's Profile
Full Name | Alexander Popov |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 374 Stockholm St, Brooklyn, 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: 1902066103
- Provider Enumeration Date: 06/11/2008
- Last Update Date: 05/31/2019
Medicare PECOS Information:
- PECOS PAC ID: 3173677713
- Enrollment ID: I20201123003223
Medical Identifiers
Medical identifiers for Alexander Popov such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1902066103 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | 303280-1 (New York) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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. Alexander Popov 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 |
Alexander Popov, MD 374 Stockholm St, Brooklyn, NY 11237-4006 Ph: (917) 658-2559 | Alexander Popov, MD 374 Stockholm St, Brooklyn, NY 11237-4006 Ph: (718) 963-7586 |
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