Mr Aleksandr Vinogradov, DPM is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" provider in Newport, Tennessee. His current practice location is
121 Newport Towne Ctr, Newport, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(423) 532-8621.
Mr Aleksandr Vinogradov is licensed to practice in Tennessee (license number 917) 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 1457914350.
Healthcare Provider's Profile
| Full Name | Mr Aleksandr Vinogradov |
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| Gender | Male |
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| Speciality | Podiatrist - Foot & Ankle Surgery |
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| Location | 121 Newport Towne Ctr, Newport, Tennessee |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1457914350
- Provider Enumeration Date: 04/16/2019
- Last Update Date: 09/11/2022
Medicare PECOS Information:
- PECOS PAC ID: 2466780135
- Enrollment ID: I20220921000202
Medical Identifiers
Medical identifiers for Mr Aleksandr Vinogradov such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1457914350 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 917 (Tennessee) | 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. Mr Aleksandr Vinogradov allows following entities to bill medicare on his behalf.
| Provider Name | Healthstar Physicians, P.c. |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1184610248
PECOS PAC ID: 5890690978
Enrollment ID: O20031203000021 |
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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. Mr Aleksandr Vinogradov 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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Mr Aleksandr Vinogradov, DPM
121 Newport Towne Ctr,
Newport, TN 37821-7391
Ph: () - | Mr Aleksandr Vinogradov, DPM
121 Newport Towne Ctr,
Newport, TN 37821-7391
Ph: (423) 532-8621 |
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