Dr Aleksey Kozlov, DMD in Cedar Crest, NM - Medicare Dentist Provider

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.

Contact Information

	Dr Aleksey Kozlov, DMD
	2 Birch Rd, Cedar Crest, NM 87008-9553
	(505) 281-2622
	(505) 407-4044

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Aleksey Kozlov
Gender	Male
Speciality	Dentist - General Practice
Location	2 Birch Rd, Cedar Crest, New Mexico
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

Reviews and Comments

Dentist in Cedar Crest, NM

Anthony Sheng-yuan Chuang, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2 Birch Rd, Cedar Crest, NM 87008 Phone: 505-281-2622
Dr. James Paul Retzer, DDS Dentist Medicare: Medicare Enrolled Practice Location: #2 Birch Rd, Cedar Crest, NM 87008 Phone: 505-281-2622 Fax: 505-286-6413

Dr Aleksey Kozlov, DMD - Medicare Dentist in Cedar Crest, NM