Dr Nikolai Klebanov, MD in Burlington, MA

Dr Nikolai Klebanov, MD is a medicare enrolled "Dermatology" physician in Burlington, Massachusetts. His current practice location is 41 Mall Road, Burlington, Massachusetts. You can reach out to his office (for appointments etc.) via phone at (781) 744-8000.

Dr Nikolai Klebanov is licensed to practice in Massachusetts (license number 1014901) 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 1386202158.

Contact Information

	Dr Nikolai Klebanov, MD
	41 Mall Road, Burlington, MA 01805-3308
	(781) 744-8000
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Nikolai Klebanov
Gender	Male
Speciality	Dermatology
Location	41 Mall Road, Burlington, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1386202158
Provider Enumeration Date: 06/05/2019
Last Update Date: 06/26/2023

Medicare PECOS Information:

PECOS PAC ID: 1557693710
Enrollment ID: I20230710002250

Medical Identifiers

Medical identifiers for Dr Nikolai Klebanov such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1386202158	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208D00000X	General Practice	280386 (Massachusetts)	Secondary
207N00000X	Dermatology	1014901 (Massachusetts)	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 Nikolai Klebanov allows following entities to bill medicare on his behalf.

Entity Name	Lahey Clinic Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1538194980 PECOS PAC ID: 2264336528 Enrollment ID: O20031120000097

Entity Name	Lahey Clinic Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063447316 PECOS PAC ID: 2264336528 Enrollment ID: O20040629001269

Entity Name	Beth Israel Lahey Health Primary Care, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063873842 PECOS PAC ID: 7719291434 Enrollment ID: O20160517000441

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 Nikolai Klebanov 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 Nikolai Klebanov, MD 680 Centre St, Brockton, MA 02302-3308 Ph: (508) 941-7000	Dr Nikolai Klebanov, MD 41 Mall Road, Burlington, MA 01805-3308 Ph: (781) 744-8000

Reviews and Comments

Dermatology Doctors in Burlington, MA

Pauline B Reohr, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: Lahey Clinic, 41 Mall Rd., Burlington, MA 01805 Phone: 781-744-8457 Fax: 781-744-5687
Dr. Adele Ann Moreland, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: Lahey Cinic Inc, 41 Mall Road, Burlington, MA 01805 Phone: 781-744-8000
Dr. Siobhan M Mannion, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 20 Wall St, Burlington, MA 01805 Phone: 781-744-8000 Fax: 978-538-4820
Dr. Katherine S. Masterpol, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 83 Cambridge St Ste 1a, Burlington, MA 01803 Phone: 781-272-7022 Fax: 781-272-8786
Dr. Adam Daniel Lipworth, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 67 S. Bedford Street, Lahey Hospital & Medical Center, Burlington, MA 01803 Phone: 781-744-5115 Fax: 781-744-5687
Dr. Adam Jared Wulkan, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 67 S. Bedford Street, Burlington, MA 01803 Phone: 781-744-5115 Fax: 781-744-5687
Zachary A Schwager, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: Lahey Hospital And Medical Center, 67 S. Bedford Street - Dermatology Department, Burlington, MA 01803 Phone: 781-744-5115 Fax: 781-744-5687

Dr Nikolai Klebanov, MD - Medicare Dermatology in Burlington, MA