Dr Vyacheslav Fattakhov, MD is a medicare enrolled "Anesthesiology" physician in Roslyn Heights, New York. He graduated from medical school in 1992 and has 32 years of diverse experience with area of expertise as Anesthesiology. He is a member of the group practice Frc Anesthesia Group, Pllc, Frc Anesthesia Group, Pllc and his current practice location is
108 Burnham Ave, Roslyn Heights, New York. You can reach out to his office (for appointments etc.) via phone at
(718) 795-7586.
Dr Vyacheslav Fattakhov is licensed to practice in New York (license number 231594-1) 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 1952395303.
Physician's Profile
| Full Name | Dr Vyacheslav Fattakhov |
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| Gender | Male |
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| Speciality | Anesthesiology |
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| Experience | 32 Years |
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| Location | 108 Burnham Ave, Roslyn Heights, 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 Vyacheslav Fattakhov graduated from medical school in 1992
NPI Data:
- NPI Number: 1952395303
- Provider Enumeration Date: 08/31/2005
- Last Update Date: 05/01/2013
Medicare PECOS Information:
- PECOS PAC ID: 1850368689
- Enrollment ID: I20040913000315
Medical Identifiers
Medical identifiers for Dr Vyacheslav Fattakhov such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1952395303 | NPI | - | NPPES |
| 02591748 | Medicaid | NY | |
| WHNA21 | Other | NY | MEDICARE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207L00000X | Anesthesiology | 231594-1 (New York) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Frc Anesthesia Group, Pllc | 9638171812 | 3 |
| Frc Anesthesia Group, Pllc | 9638171812 | 3 |
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 Vyacheslav Fattakhov allows following entities to bill medicare on his behalf.
| Entity Name | Frc Anesthesia Group, Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1689746646
PECOS PAC ID: 9638171812
Enrollment ID: O20070201000482 |
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| Entity Name | Gastroenterology & Nutrition Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1427214949
PECOS PAC ID: 2567530736
Enrollment ID: O20081001000735 |
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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 Vyacheslav Fattakhov 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 |
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Dr Vyacheslav Fattakhov, MD
108 Burnham Ave,
Roslyn Heights, NY 11577-1935
Ph: (718) 795-7586 | Dr Vyacheslav Fattakhov, MD
108 Burnham Ave,
Roslyn Heights, NY 11577-1935
Ph: (718) 795-7586 |
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