Dr Sergey Dolgov, in Alton, IL - Medicare Dentist Provider

Dr Sergey Dolgov, is a medicare enrolled "Dentist" provider in Alton, Illinois. His current practice location is 2800 College Ave, Alton, Illinois. You can reach out to his office (for appointments etc.) via phone at (618) 747-7000.

Dr Sergey Dolgov is licensed to practice in Illinois (license number 019.030120) 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 1154715795.

Contact Information

	Dr Sergey Dolgov,
	2800 College Ave, Alton, IL 62002-4742
	(618) 747-7000
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Sergey Dolgov
Gender	Male
Speciality	Dentist
Location	2800 College Ave, Alton, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1154715795
Provider Enumeration Date: 03/21/2015
Last Update Date: 03/21/2015

Medicare PECOS Information:

PECOS PAC ID: 0648580050
Enrollment ID: I20151113001063

Medical Identifiers

Medical identifiers for Dr Sergey Dolgov such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1154715795	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	019.030120 (Illinois)	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. Dr Sergey Dolgov allows following entities to bill medicare on his behalf.

Entity Name	Southern Minnesota Periodontics Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316390669 PECOS PAC ID: 8022396555 Enrollment ID: O20161103000601

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 Sergey Dolgov 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 Sergey Dolgov, 2800 College Ave, Alton, IL 62002-4742 Ph: (618) 747-7000	Dr Sergey Dolgov, 2800 College Ave, Alton, IL 62002-4742 Ph: (618) 747-7000

Reviews and Comments

Dentist in Alton, IL

Jessica Chellis, Dentist Medicare: Not Enrolled in Medicare Practice Location: 2800 College Ave, Alton, IL 62002 Phone: 618-474-7000
Dr. Sandra Kay Highsmith, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 2800 College Ave, Alton, IL 62002 Phone: 618-474-7208
Dr. Lucas Winebaugh, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 2800 College Ave, Alton, IL 62002 Phone: 618-474-7000
Dr. Adam Kennedy Remm, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 2800 College Ave, Alton, IL 62002 Phone: 618-474-7000
Prof. Martin F. Land, DDS, MSD Dentist Medicare: Not Enrolled in Medicare Practice Location: 2800 College Ave - Bldg. 263, Southern Illinois University, School Of Dental Medicine, Alton, IL 62002 Phone: 618-474-7072 Fax: 618-474-7141
Dr. Patrick William Malone, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 2800 College Ave, Alton, IL 62002 Phone: 630-391-8330
Dr. Alexandria Nicole Wold, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2800 College Ave, Alton, IL 62002 Phone: 618-474-7164

Dr Sergey Dolgov, - Medicare Dentist in Alton, IL