Dmitri Tartsakov, in Phoenix, AZ - Medicare Speech-Language Pathologist Provider

Dmitri Tartsakov, is a medicare enrolled "Speech-language Pathologist" provider in Phoenix, Arizona. His current practice location is 6131 N 27th Ave Apt 2014, Phoenix, Arizona. You can reach out to his office (for appointments etc.) via phone at (602) 805-7305.

Dmitri Tartsakov 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 1669957551.

Contact Information

	Dmitri Tartsakov,
	6131 N 27th Ave Apt 2014, Phoenix, AZ 85017-1756
	(602) 805-7305
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dmitri Tartsakov
Gender	Male
Speciality	Speech-language Pathologist
Location	6131 N 27th Ave Apt 2014, Phoenix, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1669957551
Provider Enumeration Date: 09/26/2018
Last Update Date: 03/17/2022

Medicare PECOS Information:

PECOS PAC ID: 8921436288
Enrollment ID: I20200319001687

Medical Identifiers

Medical identifiers for Dmitri Tartsakov such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1669957551	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	(* (Not Available))	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. Dmitri Tartsakov allows following entities to bill medicare on his behalf.

Provider Name	United Cerebral Palsy Of New York City, Inc.
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1730302019 PECOS PAC ID: 4688748320 Enrollment ID: O20110414000251

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. Dmitri Tartsakov 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
Dmitri Tartsakov, 6131 N 27th Ave Apt 2014, Phoenix, AZ 85017-1756 Ph: () -	Dmitri Tartsakov, 6131 N 27th Ave Apt 2014, Phoenix, AZ 85017-1756 Ph: (602) 805-7305

Reviews and Comments

Speech-Language Pathologist in Phoenix, AZ

Monica Fales, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1817 N 7th St, Phoenix, AZ 85006 Phone: 602-257-3755
Susan E Krantz, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 20402 N 15th Ave, Phoenix, AZ 85027 Phone: 623-445-4952 Fax: 623-445-5079
Rebecca Mathews, M.S. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 16 E Muriel Dr, Phoenix, AZ 85022 Phone: 602-350-1145
Berit Bilquist, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4600 E Shea Blvd Ste 101, Phoenix, AZ 85028 Phone: 602-368-8601
Miss Katheryn Reifer, MS Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4417 N 66th Ave, Phoenix, AZ 85033 Phone: 623-691-2548
Amelia Liliana Herrera, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2625 E Grovers Ave, Phoenix, AZ 85032 Phone: 602-449-5200
Kelsey Rae Benjaminson, SLPA Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 20033 N 19th Ave Ste 121, Phoenix, AZ 85027 Phone: 602-875-5616 Fax: 623-227-2030

Dmitri Tartsakov, - Medicare Speech-Language Pathologist in Phoenix, AZ