Dr Zinovy Kozlov, MD is a medicare enrolled "Preventive Medicine - Preventive Medicine/occupational Environmental Medicine" physician in Rahway, New Jersey. His current practice location is
1044 E Hazelwood Ave, Rahway, New Jersey. You can reach out to his office (for appointments etc.) via phone at
(732) 381-3636.
Dr Zinovy Kozlov is licensed to practice in New Jersey (license number MA-048011) 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 1679505002.
Physician's Profile
| Full Name | Dr Zinovy Kozlov |
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| Gender | Male |
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| Speciality | Preventive Medicine - Preventive Medicine/occupational Environmental Medicine |
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| Location | 1044 E Hazelwood Ave, Rahway, New Jersey |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1679505002
- Provider Enumeration Date: 07/07/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 4284620105
- Enrollment ID: I20040423001360
Medical Identifiers
Medical identifiers for Dr Zinovy Kozlov such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1679505002 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2083P0500X | Preventive Medicine - Preventive Medicine/occupational Environmental Medicine | MA-048011 (New Jersey) | 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 Zinovy Kozlov allows following entities to bill medicare on his behalf.
| Entity Name | Essen Medical Associates, Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1366418709
PECOS PAC ID: 1759353501
Enrollment ID: O20040811000885 |
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| Entity Name | Statmd Physicians Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1710020417
PECOS PAC ID: 8820035439
Enrollment ID: O20050414001182 |
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| Entity Name | Essen Medical Urgicare, Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1841607298
PECOS PAC ID: 4385960897
Enrollment ID: O20150227000903 |
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| Entity Name | Li Medical Group Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1144878414
PECOS PAC ID: 7517397045
Enrollment ID: O20221215002053 |
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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 Zinovy Kozlov 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 Zinovy Kozlov, MD
15 Laura Ln,
Morristown, NJ 07960-6426
Ph: (973) 539-0225 | Dr Zinovy Kozlov, MD
1044 E Hazelwood Ave,
Rahway, NJ 07065-5818
Ph: (732) 381-3636 |
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