Ekaterina Maksimov, is a
Student In An Organized Health Care Education/training Program based in Charleston, South Carolina. Ekaterina Maksimov is licensed to practice in * (Not Available) (license number ) and her current practice location is
171 Ashley Ave, Charleston, South Carolina. She can be reached at her office (for appointments etc.) via phone at
(843) 792-1414.
NPI number for Ekaterina Maksimov is 1619658564 and her current mailing address is 171 Ashley Ave, Charleston, South Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1619658564.
Provider's Profile
Full Name | Ekaterina Maksimov |
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Gender | Female |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 171 Ashley Ave, Charleston, South Carolina |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1619658564
- Provider Enumeration Date: 07/25/2023
- Last Update Date: 07/25/2023
Medical Identifiers
Medical identifiers for Ekaterina Maksimov such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1619658564 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163W00000X | Registered Nurse | 234079 (South Carolina) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
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. Ekaterina Maksimov is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Ekaterina Maksimov, 171 Ashley Ave, Charleston, SC 29425-8908 Ph: () - | Ekaterina Maksimov, 171 Ashley Ave, Charleston, SC 29425-8908 Ph: (843) 792-1414 |
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