Tatyana Petukhova, MD, MS - Medicare Micrographic Dermatologic Surgery (mds) in New York, NY

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Tatyana Petukhova, MD, MS is a medicare enrolled "Dermatology - Mohs-micrographic Surgery" physician in New York, New York. She went to Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University and graduated in 2013 and has 12 years of diverse experience with area of expertise as Micrographic Dermatologic Surgery (mds). She is a member of the group practice Josiane Lederman, Md Pc, Union Square Laser Dermatology, Goldman Dermatology Pllc and her current practice location is 156 William St Fl 11, New York, New York. You can reach out to her office (for appointments etc.) via phone at (646) 962-3376.

Tatyana Petukhova is licensed to practice in New York (license number 293685) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1528300878.

Contact Information

Tatyana Petukhova, MD, MS
156 William St Fl 11,
New York, NY 10038-5323
(646) 962-3376
Not Available

Map and Direction




Physician's Profile

Full NameTatyana Petukhova
GenderFemale
SpecialityMicrographic Dermatologic Surgery (mds)
Experience12 Years
Location156 William St Fl 11, New York, New York
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Tatyana Petukhova attended and graduated from Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University in 2013
  NPI Data:
  • NPI Number: 1528300878
  • Provider Enumeration Date: 03/25/2013
  • Last Update Date: 01/11/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 2365792363
  • Enrollment ID: I20180913000481

Medical Identifiers

Medical identifiers for Tatyana Petukhova such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1528300878NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207N00000XDermatology A131981 (California)Secondary
207NS0135XDermatology - Procedural Dermatology 293685 (New York)Secondary
207ND0101XDermatology - Mohs-micrographic Surgery 293685 (New York)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Josiane Lederman, Md Pc38704833324
Union Square Laser Dermatology62040001284
Goldman Dermatology Pllc66088959743

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. Tatyana Petukhova allows following entities to bill medicare on her behalf.
Entity NameWeill Medical College Of Cornell
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124170212
PECOS PAC ID: 6800709023
Enrollment ID: O20031118000661
Entity NameSutton Place Dermatology, P.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1730213943
PECOS PAC ID: 3678462918
Enrollment ID: O20040313000463
Entity NameJosiane Lederman, Md Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366597395
PECOS PAC ID: 3870483332
Enrollment ID: O20040318000086
Entity NameGoldman Dermatology Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154311900
PECOS PAC ID: 6608895974
Enrollment ID: O20051116000085
Entity NameUnion Square Laser Dermatology
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487936308
PECOS PAC ID: 6204000128
Enrollment ID: O20111110000646

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. Tatyana Petukhova 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 AddressPractice Location Address
Tatyana Petukhova, MD, MS
3301 C St Ste 1300, Uc Davis Department Of Dermatology,
Sacramento, CA 95816-3370

Ph: (408) 885-6300		Tatyana Petukhova, MD, MS
156 William St Fl 11,
New York, NY 10038-5323

Ph: (646) 962-3376

Reviews and Comments


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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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