Dmitriy Gagarkin, MD in New York, NY - Medicare Family Practice

Dmitriy Gagarkin, MD is a medicare enrolled "Family Medicine" physician in New York, New York. He graduated from medical school in 2019 and has 7 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice North Shore-lij Medical Pc and his current practice location is 165 Broadway Fl 23, New York, New York. You can reach out to his office (for appointments etc.) via phone at (332) 373-1411.

Dmitriy Gagarkin is licensed to practice in New York (license number 316918) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1114488947.

Contact Information

	Dmitriy Gagarkin, MD
	165 Broadway Fl 23, New York, NY 10006-1452
	(332) 373-1411
	(332) 373-1415

Map and Direction

Physician's Profile

Full Name	Dmitriy Gagarkin
Gender	Male
Speciality	Family Practice
Experience	7 Years
Location	165 Broadway Fl 23, New York, New York
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dmitriy Gagarkin graduated from medical school in 2019

NPI Data:

NPI Number: 1114488947
Provider Enumeration Date: 03/26/2019
Last Update Date: 07/11/2026

Medicare PECOS Information:

PECOS PAC ID: 0547646804
Enrollment ID: I20221011000192

Medical Identifiers

Medical identifiers for Dmitriy Gagarkin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114488947	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	316918 (New York)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Phelps Memorial Hospital Center	Sleepy hollow, NY	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
North Shore-lij Medical Pc	3375701568	6327

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. Dmitriy Gagarkin allows following entities to bill medicare on his behalf.

Entity Name	North Shore-lij Medical Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053688572 PECOS PAC ID: 3375701568 Enrollment ID: O20120220000262

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. Dmitriy Gagarkin 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
Dmitriy Gagarkin, MD 165 Broadway Fl 23, New York, NY 10006-1452 Ph: (332) 373-1411	Dmitriy Gagarkin, MD 165 Broadway Fl 23, New York, NY 10006-1452 Ph: (332) 373-1411

Reviews and Comments

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Dr. Sapna Chaudhary, D.O. Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 245 5th Ave, 2nd Floor, New York, NY 10016 Phone: 646-935-2265 Fax: 646-935-2272
Vikrant Khanderia, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 154 West 71st Street, New York, NY 10023 Phone: 212-496-4600 Fax: 917-441-0195
Massiel Esther Crespo Fleury, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 160 W 26th St, New York, NY 10001 Phone: 212-924-2510

Dmitriy Gagarkin, MD - Medicare Family Practice in New York, NY