Dr Aleksey Kozlov, DMD is a medicare enrolled "Dentist - General Practice" provider in Cedar Crest, New Mexico. His current practice location is
2 Birch Rd, Cedar Crest, New Mexico. You can reach out to his office (for appointments etc.) via phone at
(505) 281-2622.
Dr Aleksey Kozlov is licensed to practice in New Mexico (license number DD4950) 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 1124513288.
Healthcare Provider's Profile
Full Name | Dr Aleksey Kozlov |
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Gender | Male |
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Speciality | Dentist - General Practice |
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Location | 2 Birch Rd, Cedar Crest, New Mexico |
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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: 1124513288
- Provider Enumeration Date: 06/29/2018
- Last Update Date: 04/02/2025
Medicare PECOS Information:
- PECOS PAC ID: 6800145889
- Enrollment ID: I20180824000465
Medical Identifiers
Medical identifiers for Dr Aleksey Kozlov such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1124513288 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | DD4950 (New Mexico) | 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. Dr Aleksey Kozlov 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 |
Dr Aleksey Kozlov, DMD Po Box 979, Cedar Crest, NM 87008-0979 Ph: (505) 281-2622 | Dr Aleksey Kozlov, DMD 2 Birch Rd, Cedar Crest, NM 87008-9553 Ph: (505) 281-2622 |
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