Vitaliy Khaldarov, MD in Flushing, NY - Medicare Psychiatry & Neurology

Vitaliy Khaldarov, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Flushing, New York. His current practice location is 19615 75th Ave, Flushing, New York. You can reach out to his office (for appointments etc.) via phone at (917) 816-4597.

Vitaliy Khaldarov is licensed to practice in New York (license number 218084) 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 1609851195.

Contact Information

	Vitaliy Khaldarov, MD
	19615 75th Ave, Flushing, NY 11366-1813
	(917) 816-4597
	Not Available

Map and Direction

Physician's Profile

Full Name	Vitaliy Khaldarov
Gender	Male
Speciality	Psychiatry & Neurology - Psychiatry
Location	19615 75th Ave, Flushing, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1609851195
Provider Enumeration Date: 12/07/2005
Last Update Date: 05/27/2010

Medicare PECOS Information:

PECOS PAC ID: 1759413867
Enrollment ID: I20100724000007

Medical Identifiers

Medical identifiers for Vitaliy Khaldarov such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1609851195	NPI	-	NPPES
464106	Other	NY	VALUE OPTION
581076	Other	NY	MAGELLAN
02119253	Medicaid	NY
P2574904	Other	NY	OXFORD HEALTH PLAN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084P0800X	Psychiatry & Neurology - Psychiatry	218084 (New York)	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. Vitaliy Khaldarov allows following entities to bill medicare on his behalf.

Entity Name	Garden Medical Consulting Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1487444386 PECOS PAC ID: 4183143209 Enrollment ID: O20250522000023

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. Vitaliy Khaldarov 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
Vitaliy Khaldarov, MD 19615 75th Ave, Fresh Meadows, NY 11366 Ph: (917) 816-4597	Vitaliy Khaldarov, MD 19615 75th Ave, Flushing, NY 11366-1813 Ph: (917) 816-4597

Reviews and Comments

Psychiatry & Neurology Doctors in Flushing, NY

Dr. Jungman Michael Suh, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 18901 Northern Blvd # 3f, Flushing, NY 11358 Phone: 718-746-0900 Fax: 718-746-2390
Shang Liu, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 4128 Haight Street Unit 1c, Flushing, NY 11355 Phone: 718-321-8112
Dr. Tanvira M Islam, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 4500 Parsons Blvd, Flushing, NY 11355 Phone: 718-406-8268
Mr. Da Wang, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 13336 41st Rd Ste 1b, Flushing, NY 11355 Phone: 516-581-9835
George Isaac, M.D. Psychiatry & Neurology Medicare: May Accept Medicare Assignments Practice Location: 14620 Hawthorne Ave, Flushing, NY 11355 Phone: 718-539-3386
Wendy C. Cohen, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 5645 Main St, Flushing, NY 11355 Phone: 718-670-1030 Fax: 516-437-4167
Dr. Chainllie Young, MD, PHD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 131-72 40th Road, Flushing, NY 11354 Phone: 718-886-7373 Fax: 718-661-6035

Vitaliy Khaldarov, MD - Medicare Psychiatry & Neurology in Flushing, NY