Dr Oleg Desyatnikov, DO is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Miami, Florida. His current practice location is
11750 Bird Rd, Miami, Florida. You can reach out to his office (for appointments etc.) via phone at
(305) 222-5202.
Dr Oleg Desyatnikov is licensed to practice in * (Not Available) (license number ) 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 1134757164.
Physician's Profile
Full Name | Dr Oleg Desyatnikov |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 11750 Bird Rd, Miami, Florida |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1134757164
- Provider Enumeration Date: 03/27/2020
- Last Update Date: 01/27/2024
Medicare PECOS Information:
- PECOS PAC ID: 5890141576
- Enrollment ID: I20231101001889
Medical Identifiers
Medical identifiers for Dr Oleg Desyatnikov such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1134757164 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207L00000X | Anesthesiology | OS20593 (Florida) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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 Oleg Desyatnikov 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 Oleg Desyatnikov, DO 11750 Bird Rd, Miami, FL 33175-3530 Ph: (786) 315-5925 | Dr Oleg Desyatnikov, DO 11750 Bird Rd, Miami, FL 33175-3530 Ph: (305) 222-5202 |
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