Dr Dmitriy Stalivonenko, MD in Kenosha, WI

Dr Dmitriy Stalivonenko, MD is a medicare enrolled "Anesthesiology" physician in Kenosha, Wisconsin. His current practice location is 10400 75th St, Kenosha, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (414) 358-5443.

Dr Dmitriy Stalivonenko is licensed to practice in Wisconsin (license number 40879-020) 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 1710966395.

Contact Information

	Dr Dmitriy Stalivonenko, MD
	10400 75th St, Kenosha, WI 53142-7884
	(414) 358-5443
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Dmitriy Stalivonenko
Gender	Male
Speciality
Experience	Years
Location	10400 75th St, Kenosha, Wisconsin
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:

Dr Dmitriy Stalivonenko attended and graduated from in

NPI Data:

NPI Number: 1710966395
Provider Enumeration Date: 01/12/2006
Last Update Date: 11/06/2023

Medicare PECOS Information:

PECOS PAC ID:
Enrollment ID:

Medical Identifiers

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

Identifier	Type	State	Issuer
1710966395	NPI	-	NPPES
34055600	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207L00000X	Anesthesiology	40879-020 (Wisconsin)	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 Dmitriy Stalivonenko 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 Dmitriy Stalivonenko, MD Po Box 735044, Chicago, IL 60673-5044 Ph: (414) 358-5443	Dr Dmitriy Stalivonenko, MD 10400 75th St, Kenosha, WI 53142-7884 Ph: (414) 358-5443

Reviews and Comments

Anesthesiology Doctors in Kenosha, WI

Dr. Uzma Rezvi, M. D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 10400 75th St, Kenosha, WI 53142 Phone: 262-948-5600
Dr. Rick J Hutson, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 6308 8th Ave, Kenosha, WI 53143 Phone: 262-656-2011
Marijan Jednacak, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 10400 75th St, Kenosha, WI 53142 Phone: 262-697-7000
Dr. Paul G Spottswood, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 6308 8th Ave, Kenosha, WI 53143 Phone: 262-656-2011
Faraz Ahmad Khan Daha, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 6815 118th Ave, Kenosha, WI 53142 Phone: 262-857-5600
Timothy James Maher, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 10400 75th St, Kenosha, WI 53142 Phone: 414-389-2131
Dr. Kishwar Naz, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 10400 75th St, Kenosha, WI 53142 Phone: 262-948-5600

Dr Dmitriy Stalivonenko, MD - Medicare in Kenosha, WI