Dr Petr Itzhak, DO is a medicare enrolled "Obstetrics & Gynecology" physician in Glendale, New York. He went to New York College Of Osteo Medicine Of New York Institute Of Technology and graduated in 2000 and has 24 years of diverse experience with area of expertise as Obstetrics/gynecology. He is a member of the group practice Nassau Health Care Corporation and his current practice location is
6805 Myrtle Ave, Glendale, New York. You can reach out to his office (for appointments etc.) via phone at
(718) 366-2242.
Dr Petr Itzhak is licensed to practice in New York (license number 234430) 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 1801843412.
Physician's Profile
| Full Name | Dr Petr Itzhak |
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| Gender | Male |
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| Speciality | Obstetrics/gynecology |
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| Experience | 24 Years |
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| Location | 6805 Myrtle Ave, Glendale, New York |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Petr Itzhak attended and graduated from New York College Of Osteo Medicine Of New York Institute Of Technology in 2000
NPI Data:
- NPI Number: 1801843412
- Provider Enumeration Date: 05/28/2006
- Last Update Date: 08/07/2007
Medicare PECOS Information:
- PECOS PAC ID: 3678515012
- Enrollment ID: I20050525001368
Medical Identifiers
Medical identifiers for Dr Petr Itzhak such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1801843412 | NPI | - | NPPES |
| 02669836 | Medicaid | NY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207V00000X | Obstetrics & Gynecology | 234430 (New York) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Nassau Health Care Corporation | 2961315221 | 163 |
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 Petr Itzhak allows following entities to bill medicare on his behalf.
| Entity Name | Nassau Health Care Corporation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1902822992
PECOS PAC ID: 2961315221
Enrollment ID: O20040619000043 |
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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 Petr Itzhak 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 Petr Itzhak, DO
6805 Myrtle Ave,
Glendale, NY 11385-7267
Ph: (718) 366-2242 | Dr Petr Itzhak, DO
6805 Myrtle Ave,
Glendale, NY 11385-7267
Ph: (718) 366-2242 |
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