| Mr Dmitry Khasak, MD | |
|
77 Park Ave, New York, NY 10016-2556 | |
| (212) 826-6999 | |
| (201) 626-4041 |
| Full Name | Mr Dmitry Khasak |
|---|---|
| Gender | Male |
| Speciality | Dermatology |
| Experience | 34 Years |
| Location | 77 Park Ave, New York, New York |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649258286 | NPI | - | NPPES |
| 01867481 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | 1940541 (New York) | Primary |
| 207N00000X | Dermatology | 25MA06377000 (New Jersey) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Dmitry Khasak Md Pc Inc | 7911153572 | 3 |
| Century Medical And Dental Center Inc | 8729070669 | 107 |
| Dmitry Khasak Md Pc | 9335395821 | 3 |
| Entity Name | Dmitry Khasak Md Pc Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679835946 PECOS PAC ID: 7911153572 Enrollment ID: O20120814000388 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Dmitry Khasak, MD Po Box 6656, Dmitry Khasak Md, New York, NY 10150 Ph: (201) 626-4040 | Mr Dmitry Khasak, MD 77 Park Ave, New York, NY 10016-2556 Ph: (212) 826-6999 |
Dr. Elizabeth Anne Konecky, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 424 W End Ave, 8f, New York, NY 10024 Phone: 212-362-2609 Fax: 212-362-2609 | |
Angela Marie Leo, DO Dermatology Medicare: Accepting Medicare Assignments Practice Location: 315 Church St Fl 2, New York, NY 10013 Phone: 212-334-3774 | |
Costner Mckenzie, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 69 E 76th St, New York, NY 10021 Phone: 800-778-3090 | |
Gregory Scott Phillips, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 820 2nd Ave Rm 3a, New York, NY 10017 Phone: 212-661-3376 Fax: 212-661-3366 | |
Liang Deng, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1275 York Ave, New York, NY 10021 Phone: 646-227-3813 | |
Dr. Andrea Nandini Persaud, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 215 East 95th Street, New York, NY 10128 Phone: 212-996-8000 Fax: 212-423-3127 | |
Dr. Arash Akhavan, M.D., F.A.A.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 110 E 60th Street, Suite 606, New York, NY 10022 Phone: 212-444-8204 |