Boris Lukatskiy, CRNA - Medicare Nurse Anesthetist, Certified Registered in Syracuse, NY

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Boris Lukatskiy, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Syracuse, New York. His current practice location is 750 E Adams St, Syracuse, New York. You can reach out to his office (for appointments etc.) via phone at (315) 464-4891.

Boris Lukatskiy is licensed to practice in Pennsylvania (license number RN741339) 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 1417719840.

Contact Information

Boris Lukatskiy, CRNA
750 E Adams St,
Syracuse, NY 13210-1834
(315) 464-4891
Not Available

Map and Direction




Provider's Profile

Full NameBoris Lukatskiy
GenderMale
SpecialityNurse Anesthetist, Certified Registered
Location750 E Adams St, Syracuse, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1417719840
  • Provider Enumeration Date: 01/30/2024
  • Last Update Date: 08/29/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 0941745624
  • Enrollment ID: I20240717004189

Medical Identifiers

Medical identifiers for Boris Lukatskiy such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1417719840NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 735574 (New York)Secondary
367500000XNurse Anesthetist, Certified Registered RN741339 (Pennsylvania)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. Boris Lukatskiy allows following entities to bill medicare on his behalf.
Entity NameUpstate Medical Anesthesiology Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1851485759
PECOS PAC ID: 8921992389
Enrollment ID: O20040209000612

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. Boris Lukatskiy 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
Boris Lukatskiy, CRNA
5784 Widewaters Pkwy, Floor 2,
Syracuse, NY 13214-1890

Ph: (315) 469-1130		Boris Lukatskiy, CRNA
750 E Adams St,
Syracuse, NY 13210-1834

Ph: (315) 464-4891

Reviews and Comments


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John F Murphy, CRNA
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Ms. Marie Alberte Altidor, CRNA
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Practice Location: 736 Irving Ave, Syracuse, NY 13210
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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

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.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.