| Sergiy Kushchayev, MD PHD | |
|
17329 Ladera Estates Blvd, Lutz, FL 33548-4817 | |
| (813) 745-7365 | |
| (813) 449-8618 |
| Full Name | Sergiy Kushchayev |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 29 Years |
| Location | 17329 Ladera Estates Blvd, Lutz, Florida |
| 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 |
|---|---|---|---|
| 1669810271 | NPI | - | NPPES |
| 1669810271 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | ME140132 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Hartford Hospital | Hartford, CT | Hospital |
| Manchester Memorial Hospital | Manchester, CT | Hospital |
| Griffin Hospital | Derby, CT | Hospital |
| Day Kimball Hospital | Putnam, CT | Hospital |
| Middlesex Hospital | Middletown, CT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Connecticut Imaging Partners Llc | 4183649098 | 105 |
| Connecticut Imaging Partners Llc | 4183649098 | 105 |
| Tic Llc | 4880972819 | 52 |
| Farmington Imaging Center Llc | 7719265651 | 58 |
| Jefferson Radiology Pc | 8729982525 | 120 |
| Farmington Imaging Center Llc | 7719265651 | 58 |
| Tic Llc | 4880972819 | 52 |
| Jefferson Radiology Pc | 8729982525 | 120 |
| Mailing Address | Practice Location Address |
|---|---|
| Sergiy Kushchayev, MD PHD Po Box 198441, Atlanta, GA 30384-8441 Ph: (813) 745-7365 | Sergiy Kushchayev, MD PHD 17329 Ladera Estates Blvd, Lutz, FL 33548-4817 Ph: (813) 745-7365 |
Les R Folio, DO Radiology Medicare: Medicare Enrolled Practice Location: 17327 Ladera Estates Blvd, Lutz, FL 33548 Phone: 813-745-7365 Fax: 813-449-8618 | |
Dr. Peter R. Bolos, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1208 Merry Water Dr, Lutz, FL 33548 Phone: 813-477-9979 Fax: 888-688-1659 | |
Dr. Manuel Steven Farber, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 606 Druid Way, Lutz, FL 33548 Phone: 813-962-8930 | |
Cory Robert Rizzardi, DO Radiology Medicare: Accepting Medicare Assignments Practice Location: 2540 Green Forest Ln Ste 101, Lutz, FL 33558 Phone: 813-920-5200 Fax: 813-920-5228 |